There is focal dorsal soft tissue swelling of the left middle finger centred at the DIP joint and proximal nail fold.
This appears more pronounced than the swelling of the index finger at the DIP joint.
There is DIP osteoarthritis with joint space narrowing, bone remodelling and osteophyte formation especially of the index and middle fingers and the interphalangeal articulation of the thumb.
PIP and MCP joint spaces are narrowed too.
There is age-appropriate osteopenia and calcified plaque of the left radial artery.