"Thirdly, this patient does have chronic distal ischemic problems with evidence of ""ping-pong ball sign"" due to fat atrophy at the finger tips and some periodic cracking and ulceration at the tips of the fingers"
"Ekyokusatu, omulwadde ono alina obuzibu obutawona obw'okusannyalala okw'ewala (chronic distal ischemic problems) ng'alina obujulizi bwa ""ping-pong ball sign"" olw'okukendeera kw'amasavu ku nsonga z'engalo n'okukutuka okumu n'amabwa buli luvannyuma lwa kiseera ku nsonga z'engalo"