18th January 2024

A 43-year-old male with a past medical history of chronic abdominal pain and fatigue presents with a painful, swollen left wrist.

A 43-year-old male with a past medical history of chronic abdominal pain and fatigue presents with a painful, swollen left wrist.

His blood results are as follows:

Haemoglobin 120 g/L

Mean Corpuscular Volume 90 fL

White Cell Count 12.0 x10⁹/L

Alanine Transaminase (ALT) 215 U/L

Alkaline Phosphatase (ALP) 110 U/L

Bilirubin 30 µmol/L

C-Reactive Protein 56 mg/L

Which of the following findings from the X-ray of the wrist would aid diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.