Radiography of the hands and wrists showing juxta-articular osteopenia associated with diffuse reduction of the joint spaces, with subchondral bone erosions in the radiocarpal, intercarpal, first carpometacarpal and proximal (more prominent) and distal interphalangeal joints. Bone erosions are evident in the styloid process of the ulna and a slight increase in the soft parts of the wrists is found bilaterally.