Reason: eval OA History: pain Right wrist:Punctate ossific density along the radial aspect of the base of the proximal phalanx of the fifth digit may represents prior remote trauma. No acute fracture is evident. Note is made of a prominent physeal scar along the lateral aspect of the distal radius, but no fracture is evident. Mild degenerative changes affect the basilar joint. There is perhaps soft tissue swelling about the dorsal aspect of the wrist. If strong clinical concern for fracture, further evaluation with MRI could be considered.Right knee:There is sharpening of the tibial spines and osteophyte formation indicating mild osteoarthritis. No large effusion is seen. There is no fracture evident. Mild osteoarthritis affects the left knee is seen on the frontal view. There is calcification along the medial aspect of the left medial femoral condyle which may reflect prior injury to the MCL/Pellegrini Stieda process. Note is made of a bipartite patella.
1. Soft tissue swelling along the dorsal aspect of the wrist. If strong clinical concern for an occult fracture, further evaluation with MRI could be considered.2. Osteoarthritis of the right knee. Other findings as described above.