No acute osseous abnormality. Alignment preserved bilaterally. Bone mineralization maintained without convincing periarticular osteopenia. MCP, PIP and DIP joint spaces preserved bilaterally without convincing inflammatory joint-space narrowing. Radiocarpal, intercarpal and visualized carpometacarpal relationships preserved.

No definite marginal erosions in either hand or wrist on baseline or follow-up. No convincing periostitis, acro-osteolysis, carpal collapse or inflammatory proliferative bone formation.

On follow-up, very mild scattered non-erosive interphalangeal contour irregularity / marginal spurring, most conspicuous at a few DIP joints and the thumb IP joint, low-grade degenerative in appearance — subtle, not associated with erosive change. No definite inflammatory interval change.

Mild hallux valgus with mild medial first-metatarsal-head prominence / bunion-type morphology. First MTP joint space preserved to minimally narrowed, without erosive change. Lesser MTP and IP joint spaces preserved. Midfoot alignment maintained. No focal erosions, periostitis or inflammatory proliferative change. Ankle mortise/alignment preserved; no tibiotalar erosive change.

Compared with baseline (2025): no convincing interval structural progression.

Mild hallux valgus with mild medial first-metatarsal-head prominence / bunion-type morphology. First MTP joint space preserved to minimally narrowed, without erosive change. Lesser forefoot joint spaces preserved. Midfoot alignment maintained. Tiny plantar calcaneal enthesopathic spur present. No convincing erosive change in forefoot, midfoot or ankle; mortise/alignment preserved.

Compared with baseline (2025): no convincing interval structural progression; tiny plantar calcaneal spur stable.

1. No definite radiographic evidence of erosive inflammatory arthritis in the imaged hands, wrists, feet or ankles.
2. No convincing radiographic progression between the 2025 baseline and 2026 follow-up.
3. Mild bilateral hallux valgus / bunion-type morphology.
4. Very subtle scattered non-erosive interphalangeal degenerative-type irregularity/spurring, best seen on the follow-up hand series, without erosive features.
5. Stable tiny left plantar calcaneal enthesopathic spur.

Longitudinal peripheral radiographs from 2025 and 2026 show no radiographic joint damage from RA. No erosions, inflammatory joint-space loss, periostitis or other destructive inflammatory changes are identified in the hands/wrists or feet/ankles, and there is no convincing interval progression over this ~14-month period. Mild incidental noninflammatory findings include bilateral mild hallux valgus/bunion-type morphology, very subtle scattered non-erosive interphalangeal degenerative-type spurring, and a stable tiny left plantar calcaneal spur. Overall imaging remains most consistent with a non-erosive, structurally stable peripheral study. Pattern tags: non-erosive / no radiographic RA damage / mild incidental mechanical-degenerative findings. Progression tag: stable / no structural progression.

Alignment is preserved in the hands, wrists, feet and ankles. Bone mineralization is maintained. MCP, PIP, DIP, radiocarpal, intercarpal, first MTP, lesser MTP and ankle joint spaces are preserved without convincing inflammatory joint-space narrowing. No definite marginal erosions are identified. No periostitis, acro-osteolysis, carpal collapse or inflammatory proliferative bone formation is seen.

There is very mild scattered non-erosive contour irregularity/spurring at a few interphalangeal joints, most evident distally and at the thumb interphalangeal joint, degenerative in appearance. Mild bilateral hallux valgus with mild bunion-type prominence at the first metatarsal heads. Tiny left plantar calcaneal spur. No acute osseous abnormality.

Compared with baseline (2025): no convincing interval structural progression in the imaged hands, wrists, feet or ankles.

1. No definite radiographic evidence of erosive inflammatory arthritis in the imaged hands, wrists, feet or ankles.
2. No convincing radiographic progression from the 2025 baseline to the 2026 follow-up.
3. Mild bilateral hallux valgus / bunion-type change.
4. Very subtle scattered non-erosive interphalangeal degenerative-type spurring.
5. Stable tiny left plantar calcaneal spur.

No erosive changes or inflammatory joint-space loss identified in the imaged hands, wrists, feet or ankles. Alignment and mineralization are preserved. Mild bilateral hallux valgus/bunion-type change. Very subtle non-erosive interphalangeal degenerative-type spurring. Tiny left plantar calcaneal spur. No acute osseous abnormality.

No convincing interval structural progression compared with baseline (2025).

1. No definite radiographic evidence of erosive inflammatory arthritis.
2. No convincing interval progression since the 2025 baseline.
3. Mild bilateral hallux valgus / bunion-type change.
4. Tiny left plantar calcaneal spur.