Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 29 yrs.
Referred by : Dr. Abc Xyztchha / Dr. Abc Xyzergamkar.
Examination : M.R.I. of the Right Wrist.

CLINICAL PROFILE :

C/O pain in the right wrist since August 0000 which has increased since 2 months.
Alleged H/O fall in August 0000 with injury to the right wrist.
Also H/O giant cell tumor in the left knee. Operated in March 0000.

EXAMINATION :

M.R.I of the right wrist was performed using the following parameters :

3 mm thick T1 Weighted and GRASS coronal images.

3 mm thick T1 Weighted, T2 Weighted and STIR axial images (with fat saturation).

3 mm thick T1 Weighted and T2 Weighted sagittal images (with fat saturation).

OBSERVATION :

The visualized carpal bones of the right wrist show normal alignment.

Fluid is noted in the distal radio-ulnar joint, in the radio-carpal joint, between the radius and the scaphoid bone and deep to the extensor tendons laterally at the level of the radio-carpal joint. Probable slight synovial thickening is noted in these regions.





- 2 - Scan-00004


Focal subcentimeter, hypointense lesions on T1 Weighted images are noted in the capitate, lunate and triquetrial bones. These lesions appear hyperintense on the T2 Weighted, STIR and GRASS images and may represent degenerative cysts.

The rest of the visualized carpal bones and intercarpal ligaments are unremarkable. The visualized radius and ulna bones are also unremarkable. The visualized carpal tunnel shows no significant feature of note.

IMPRESSION :

1. Fluid in the distal radio-ulnar joint, in the radio-carpal joint between the radius and the scaphoid bone and deep to the extensor tendons laterally at the level of the radio-carpal joint with probable slight synovial thickening in these regions. Synovitis is a likely possibility.

2. Focal subcentimeter, altered signal intensity lesions
in the capitate, lunate and triquetrial bones may represent degenerative cysts.