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Fig. 4G. —41-year-old man with seronegative rheumatoid arthritis and intraosseous lesion of distal phalanx of fifth finger. Coronal spin-echo gadolinium-enhanced fat-saturated T1-weighted image (735/9.3, obtained immediately after injection) (G) and coronal spin-echo fat saturated T2-weighted (2,500/80) (H) image show lesion in proximal aspect of distal phalanx of fifth digit. Note absence of synovitis at distal interphalangeal joint of fifth digit and presence of synovitis in proximal interphalangeal joints of third and fourth fingers.