Wrist pain, arthritis or synovitis There is a mild amount of enhancement within the distal radioulnar joint indicating mild synovitis. There is also very mild synovial enhancement of the radiocarpal and midcarpal joints which may reflect additional minimal synovitis but this is equivocal. There are foci of signal intensity and enhancement within multiple carpal bones which may reflect a combination of edema and cysts or possibly chronic erosions. There is degeneration of the articular disc of the triangular fibrocartilage complex and signal abnormality within the proximal lunate just distal to the radioulnar articulation which may reflect ulnocarpal abutment. The scapholunate interval appears slightly widened but we see no fluid-filled tear of the scapholunate ligament. Moderate osteoarthritis affects the basilar joint. A multilobulated collection of fluid signal intensity is noted distal and medial to the first carpometacarpal joint which likely represents a ganglion.There is increased signal intensity within the abductor pollicis longus and extensor pollicis brevis as they course along the radial styloid which may reflect the sequela of deQuervain tenosynovitis but we see no frank tenosynovial enhancement at this time. A small slip of tendon is noted between the extensor carpi radialis brevis and longus which may reflect an accessory tendon or the sequela of chronic longitudinal tearing although this is thought to be less likely. There is medial subluxation of the extensor carpi ulnaris from its groove with increased signal intensity noted along the ulnar styloid and adjacent enhancement indicating degeneration/degenerative tearing and focal tenosynovitis.There is poorly defined edema and enhancement volar to the flexor carpi ulnaris tendon with multiple prominent adjacent vessels which is of uncertain etiology but may represent a small vascular malformation or nonspecific inflammation.
Osteoarthritis of the wrist with mild synovitis and other findings described above.Note that the patient developed a reaction to the administered MultiHance which is further detailed above according to hospital policy A03-17/PC 55.