Date : 00.00.0000
Name of the Patient : Abc Xyz Galmn / M / 38 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Right Wrist.
CLINICAL PROFILE :
C/O pain and swelling (on and off) over right wrist.
M.R.I of the right wrist was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
3 mm thick T1 Weighted and STIR coronal images.
3 mm thick T1 Weighted and GRASS sagittal images.
There is an hypointense signal on the T1 Weighted images involving nearly all the carpal bones of the right wrist joint, except the pisiform bone. The distal row of the carpal bones is more involved than the proximal row. This signal appears hyperintense on the T2 Weighted, GRASS and STIR images. Fluid is noted in the intercarpal joint. The soft tissues along the dorsal and palmar margins of the right wrist joints also show a hyperintense signal on the T2 Weighted, STIR and GRASS images. Probable thickening of the synovium around the right wrist joint is also noted. The base of the second metacarpal also shows similar signal intensity changes.
The visualized ligaments around the right wrist joints are unremarkable. The radiocarpal joint and the distal radio ulna joints are unremarkable. The visualized tendon sheaths also appear normal.
The right carpal tunnel appears unremarkable.
Altered signal in the carpal bones of the right wrist joint except the pisiform bone and in the base of the second right metatarsal with synovial thickening and fluid as described is not specific for a single etiology.
An infective/inflammatory etiology is a likely possibility. A tuberculous etiology should be considered.