Bony tenderness. Question of infection. Patient has rheumatoid arthritis per EPIC notes. LIGAMENTS: The scapholunate ligament is disrupted with resulting widening of the scapholunate interval.TRIANGULAR FIBROCARTILAGE COMPLEX: No significant abnormality noted.TENDONS: No significant abnormality noted.BONES: There is cortical irregularity with decreased T1 signal and abnormal T2 signal involving the medial triquetrum, the lunate at the scapholunate articulation, the radius at the radiocarpal articulation, the scaphoid laterally, and in multiple sites within the capitate. No fracture is evident. ADDITIONAL
1. Ganglion cyst and erosive changes of several of the carpal bones and distal radius consistent with rheumatoid arthritis and less likely to be infection. 2. Disruption of the scapholunate ligament. 