MONTAGE: JOINT: Course of Rheumatoid Arthritis, Clinical and radiographic progression -- EARLY STAGE, METACARPOPHALANGEAL JOINTS; Left image-clinical; right image-radiograph -- CLINICAL-There is fullness of the knuckle with bulging on the radial and ulnar sides and subsequent loss of the crease between knuckles. The initial dorsal swelling of these joints will become (PLAIN FILM)