Normal left wrist MRI

Case contributed by Mohd Radhwan Bin Abidin
Diagnosis certain

Presentation

Chronic left wrist pain

Patient Data

Age: 35 years
Gender: Male

Left wrist

mri
This study is a stack
Coronal
T1
This study is a stack
Coronal
PD
This study is a stack
Coronal T1
fat sat
This study is a stack
Coronal PD
fat sat
This study is a stack
Coronal T2
de3D we
This study is a stack
Axial
T2
This study is a stack
Axial PD
fat sat
This study is a stack
Sagittal
T2
This study is a stack
Sagittal
T1 fat sat
This study is a stack
Sagittal
PD fat sat
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Info

Neutral ulnar variance. The triangular fibrocartilage including the disc proper is intact. Ulnomeniscal homologue is intact. Extensor carpi ulnaris tendon is intact.

Scapholunate ligament is intact. Bone shows normal signal intensity. No joint effusion.

Case Discussion

This is a normal left wrist MRI. The injury suspected is at TFCC (triangular fibrocartilage complex), however, the TFCC is normal. This is an example of MRI 3 Tesla of the wrist without an arthrogram.

"T2 de3D we" is a sequence specifically for Siemens MRI machine. It is also known as DESS (Double Echo Steady State). It is commonly used in musculoskeletal imaging and can be MPR into 3D imaging for assessment.

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