There is a nonunited scaphoid fracture with a bridging screw. The radioscaphoid and scaphocapitate joint space is narrowed with lucency in the radial styloid and capitate suggesting degenerative subchondral cyst formation. There is some sparing of the radiolunate joint. There is also marked narrowing of the joint between the capitate and lunate with sclerotic changes. The collective findings are consistent with scaphoid non union advanced collapse (SNAC).