Pain and swelling of the wrist. Rheumatoid arthritis. Rule out destructive changes. The bones appear demineralized. Diffuse soft tissue swelling about the wrist is noted. There is narrowing of the radiocarpal and midcarpal joints, appearing similar to that seen on the prior study, consistent with rheumatoid arthritis. There is also slight widening of the scapholunate interval and volar rotary subluxation of the scaphoid, which may have slightly progressed. Erosion along the lateral margin of the scaphoid is redemonstrated. Additional erosions seen on prior MR imaging are not clearly evident on these radiographs. Small ossicles along the distal ulna appear similar to that seen on the prior study. Mild osteoarthritis at the basilar joint is unchanged.
Findings consistent with rheumatoid arthritis, appearing similar to that seen on the previous exam, perhaps with mild progression of volar rotary subluxation of the scaphoid.