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Fig. 4B —38-year-old woman with early rheumatoid arthritis and bone erosions. Transverse fat-suppressed gadolinium-enhanced 3D gradient-echo MR image shows bone erosion on radial aspect of third metacarpal bone (arrowhead). Note also presence of significant bilateral synovitis in second and third metacarpophalangeal joints and flexor digitorum tenosynovitis (arrows).