Describe your findings
The dorsal scapholunate ligament is mildly thickened and oedematous with small adjacent cysts like structures, likely representing partial thickness tearing and ganglion cysts. No widening of the scapholunate interval on this non-stressed study. Mild thickening of the APL tendon at the level of the radial styloid, with minimal overlying oedema, due to mild tendinopathy. There is a serpiginous low T2 signal structure that passes through the volar portion of the carpal tunnel, between the bifid median nerve, in keeping with a persistent median artery of the forearm.
What is the clinical importance of stating a bifid median nerve?
So both portions of the nerve can be identified during carpal tunnel surgery.
The dorsal scapholunate ligament is mildly thickened and oedematous with small adjacent cysts like structures, likely representing partial thickness tearing and ganglion cysts. No widening of the scapholunate interval on this non-stressed study.
Mild thickening of the APL tendon at the level of the radial styloid, with minimal overlying oedema, due to mild tendinopathy.
There is a serpiginous low T2 signal structure that passes through the volar portion of the carpal tunnel, between the bifid median nerve, in keeping with a persistent median artery of the forearm.