question: Hello doctor, I would like an opinion as to why the ring finger on my son’s left hand is swollen, the middle finger is a little swollen and possibly some fingers on his right hand are too (but less so). They are not painful. This started about a year ago, a rheumatologist saw him then and thought that it was not arthritis. X-rays are taken last year were normal. This is what the x-ray report says: Technique: PA, lateral, and oblique views of the bilateral hands were obtained. Findings: The alignment and joint spaces are normal. There is no fracture, osseous lesion, or dislocation. The soft tissues are normal. Impression: No osseous or soft tissue lesion noted. MRI may be of value. Blood work taken a year ago was normal (images attached).