Objectives: The present study was performed to compare betweenclinical examination, conventional radiography and MRI in evaluation offoot of RA patients.Methods: Thirty adult RA patients of a mean age of ٤٠٫٨ yearsand a mean disease duration of ٧٫١٧ years, were subjected to full historytaking, full clinical examination, plain x-ray to both feet and MRI bothfeet, with ten healthy adults of matching age and sex served as a controlgroup.Results: Conventional radiography detected erosions at MTP in ٦cases (٢٠٪) while MRI detected bone erosions at MTP in ٦ cases (٢٠٪)and erosions in other areas in another ٦ cases (٢٠٪). MRI detected boneodema in ١٢ cases (٤٠٪), bursitis in ٥ cases (١٦٫٧٪), tenosynovitis in ١٦cases (٥٣٫٣٪), ankle joint effusion in ٢٠ cases (٦٦٫٧٪), tarsometatarsaljoint effusion in ١٦ cases (٥٣٫٣٪). Good agreement between MRI and CRin detection of bone erosions. High agreement between MRI and clinicalexamination in detection of ankle joint effusion. Poor agreement betweenclinical examination and MRI in detection of subtalar joint effusion. Pooragreement between clinical examination and MRI in detection of MTPjoint effusion. Significant relation was found between the positivity of RFand bone odema found in MRI. No changes in control group was foundedby CR or MRI.Conclusion: we conclude that using MRI foot in early RA isimportant especially in patients with normal radiographs of hands andwrists. Early detection of the articular manifestation of RA especiallybone odema and early articular erosions help to start DMARDS early andimproving the prognosis of disease and not waiting for the CR that startlater in the disease course.