Female 63 years old. Reason: eval for RA, pain/swelling in joints. History: eval for RA, pain/swelling in joints. Three views of the right hand are provided. The bones appear normal for age without erosions or other specific findings of rheumatoid arthritis. Three views of the left hand are provided. The bones appear normal for age without erosions or other specific findings of rheumatoid arthritis. There is a tiny ossicle distal to the ulnar styloid which may be secondary to prior injury. Four views of the right knee demonstrate tiny osteophytes indicating minimal osteoarthritis. There is no joint effusion or erosion. There is a lucency partially traversing the fibular styloid, probably representing a normal variant. If there is clinical concern for fracture in this location, further imaging with MRI can be obtained.Four views of the left knee demonstrate small osteophytes indicating mild osteoarthritis. There is no joint effusion or erosion. Three views of the right foot demonstrate bone demineralization but no erosions or other specific findings of rheumatoid arthritis. There is soft tissue swelling along the dorsal aspect of the foot. There are small plantar and posterior calcaneal spurs.Three views of the left foot demonstrate bone demineralization but no erosions or other specific findings of rheumatoid arthritis. There is a bipartite medial sesamoid bone, which is a normal variant. There is a small plantar calcaneal spur.
1. No specific findings to suggest rheumatoid arthritis.2. Mild knee joint osteoarthritis, right foot soft tissue swelling and other findings as described above.3. Lucency partially traversing the right fibular styloid. This finding likely represents a normal variant, however, if there is clinical concern for a fracture in this location, further imaging with MRI can be obtained.