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Lint: erosive-osteoarthritis

Acronyms
warning

"ESR/CRP: negative or slightly elevated 6"

Line 12:11 · 'ESR' has no definition. Spell it out if it's unfamiliar to the audience.
There Is
suggestion

"There is marked female predilection (F:M ~12:1), typically presenting in the postmenopausal patient."

Line 3:4 · Don't start a sentence with 'There is'.
Semicolons
suggestion

"subchondral erosions (at least two central erosions affecting separate interphalangeal joints); typical central location of the erosions produces the classic "gull-wing" appearance"

Line 25:102 · Use semicolons judiciously.