Left wrist fracture Note that the examination is limited by motion artifact.LIGAMENTS: No significant abnormality noted.TRIANGULAR FIBROCARTILAGE COMPLEX: No significant abnormality noted.TENDONS: No significant abnormality noted. BONES: There is fragmentation and abnormal signal intensity of the lunate compatible with avascular necrosis. The lunate demonstrates very homogeneous low T1 signal intensity with patchy areas of T2 hyperintensity dorsally. Following gadolinium administration, there are patchy areas of enhancement, particularly dorsally which is best appreciated on series 1201 image 5. There is additional soft tissue enhancement about the wrist likely reflecting mild synovitis.Additional areas of high T2 signal intensity are identified within the distal radius, capitate and triquetrum which may represent areas of contusion or degenerative change.The flexor and extensor tendons are unremarkable.
Avascular necrosis of the lunate with patchy areas of enhancement and mild synovitis following contrast administration.