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There is high signal within the EPL tendon just distal to Lister's tubercle as it crosses over the second extensor tendons (ECRB and ECRL) and is flattened by the overlying extensor retinaculum. There is localised tenosynovitis around this area and a small amount of increased fluid is present within the EPL and ECRL tendon sheaths distally. This appearance is consistent with distal intersection syndrome. There is also thickening and hyperintensity of the dorsal wrist capsule which is likely due to repetitive sprain. A ganglion / effusion is noted at the triquetral-pisiform articulation. A linear cleft is seen within the proximal (membranous) portion of the scapholunate ligament with the volar and dorsal bands intact. There is loss of cartilage at the scaphoid-trapezoid articulation.