### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a 33 year old female. I have had constant pain, swelling, instability, numbness, loss of grip and achyness in my right hand and wrist. I had an MRI done w/O contrast and this is what some of it says: There are degenerative changes of the lunate that are likely the result of lunate impaction and there is positive ulnar variance. No triangular fibrocaetilage meniscus tear is seen. Dorsal soft tissue swelling, which can be seen with recent rupture of ganglion cyst. No dorsal ganglion identified. Small volar ganglion Osseous structures: there is chondromalacia of the proximal ulnar aspect of the lunate with subcortical cyst formation. The findings are likely chronic ulnar lunate impaction. There is a slight positive ulnar variance. There is no evidence for fracture or avn. Triangular fibrocaetilagecomplex: Mild fraying of the meniscus but no tear seen. I fell 20 feet from a roof 11 years ago and broke both wrists. You can see that my wrists are offset. I have been a typist for the last 13 years typing 90% of the time. What does all of this mean. The ortho I was seeing received the MRI and then referred me to a hand specialist. No one has explained anything to me.

### output:

Hi Therefrom what your MRI report, this is what I can tell your ulna head(at the wrist level your forearm ends with 2 bones, one larger: radius and the other one smaller, ulna head) is slightly longer than normal and during movement it abuts against another smaller bone in your wrist(late) and this phenomenon is called ulna late impaction syn Chat Doctor.  In your case the MRI says that your late is quite badly damaged but still surviving. If the pain is so bad and nothing else helps your hand surgeon will need to shorten your ulna to alleviate pressure on the late. I hope this helps you.