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Figure 19. Longitudinal ultrasound of metacarpophalangeal joint. This image shows the dorsal aspect of the metacarpal head (M) and proximal phalanx (P) in a patient with rheumatoid arthritis. The joint is distended by thickened synovium (arrowheads). The synovitis fills an erosion seen as a breach in the cortex of the metacarpal head (*).





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