There is severe joint space narrowing at the first carpometacarpal joint and the interphalangeal joints. At the first carpometacarpal joint there is associated subchondral sclerosis and cyst formation. There are also subchondral central erosions at the heads of the proximal phalanges with marginal osteophytes involving the distal phalangeal bases, demonstrating gull wing deformity through the second and fifth digits. Severe joint space narrowing, subchondral sclerosis, and erosive changes of the scaphoid-trapezium and scaphoid-trapezoid joints. Narrowing of the radiocarpal joint. Diffuse osteopenia. Findings are keeping with erosive osteoarthritic changes.