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There is subtle permeative lytic destruction of the first metacarpal, with questionable areas of cortical destruction throughout the diaphysis. On the lateral view, subtle periosteal elevation is appreciated along the dorsomedial aspect of the proxmial metaphysis of the first metacarpal.
There are also mild degerative changes at the second, third, and fourth distal interphalangeal joint, scaphotrapezial joint and 1st metacarpophalangeal with joint space narrowing and osteophytosis.