MONTAGE: JOINT: Course of Rheumatoid Arthritis, Clinical and radiographic progression -- NORMAL PROXIMAL INTERPHALANGEAL JOINTS; left image-clinical; right image-radiograph -- CLINICAL-A lack of synovitis or effusion is noted by the creases about the knuckle. RADIOGRAPHIC-There is lack of soft tissue swelling, maintained radiographic joint space, lack of subchondral (PLAIN FILM)