MONTAGE: JOINT: Course of Rheumatoid Arthritis, Clinical and radiographic progression -- ADVANCED STAGE, METACARPOPHALANGEAL JOINTS; left image-clinical; right image-radiograph -- CLINICAL-Similar to moderate changes, there is fullness of the joint, palmar subluxation, and ulnar deviation. There may not be active synovitis but flexion deformity is present and not reduci (PLAIN FILM)