Figure 2

Radiologic evidences of osteolytic lesions of the extremities. a. Multiple osteolytic lesions are noted along the metaphyseal line of the 2nd to 4th metacarpophalangeal joints (arrow) with pericarticular osteopenia of the wrist and metacarpophalangeal joints. Large osteolytic lesions are also noted at right distal radius and ulnar (arrows). No widening of both wrist joint spaces. Sharp bony cortex of both radius and ulnar. b. Multiple osteolytic lesions are noted at right calcaneous (arrow). No widening of both ankle joint spaces. Sharp bony cortex of both tibia and fibula.