Title
CT Wrist Without Contrast
Clinical History
Patient-specific — populated from user input at report time. Shows "None" if not provided.
Comparison
No prior studies available for comparison.
Technique
High-resolution MDCT of the left wrist was performed using a dedicated musculoskeletal protocol. Axial data was acquired at 0.6 mm slice thickness and reconstructed in axial, coronal, and sagittal planes using high-spatial-frequency bone algorithms and standard soft tissue kernels. Dose reduction techniques, including automated tube current modulation, were utilized.
Findings
Osseous Structures: No acute fracture or dislocation. Normal alignment of the radiocarpal, distal radioulnar, and midcarpal joints. The carpal bones (scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate, and hamate) are intact with normal corticomedullary differentiation. No aggressive lytic or blastic lesions.
Joint Spaces: Preserved joint spaces throughout. No intra-articular loose bodies or significant degenerative changes (osteophytosis or subchondral sclerosis).
Distal Radioulnar Joint (DRUJ): The distal ulna is normally positioned within the sigmoid notch of the radius. No evidence of volar or dorsal subluxation.
Soft Tissues: Visualized tendons (including the first through sixth extensor compartments and flexor tendons) appear grossly intact within the limits of non-contrast CT. No evidence of pre-calcified tendinopathy or significant peritendinous edema.
Miscellaneous: No radiopaque foreign bodies identified. No evidence of significant soft tissue swelling or regional lymphadenopathy.
Impression
No acute fracture or malalignment of the left wrist.
Normal CT appearance of the carpal bones and distal forearm.