Paget disease - right thumb
Pain, inflammation and deformity of hands
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Bilateral small joint degeneration of the hands.
Right thumb metacarpal - bony expansion and coarsening of the trabeculae consistent with Paget's disease. Almost certainly unrelated to the patients presenting complaint.
The changes in the right 1st metacarpal bone are classic of Paget disease and very unlikely to be the cause of the pain.