Patient scanned in cast. There is complete perilunate dislocation with dorsal displacement of the capitate. There is a mid-waist displaced fracture of the scaphoid with dorsal displacement of the distal pole. Mild sclerosis of the proximal pole is present which may indicate early avascular necrosis. Displaced, mildly comminuted fracture of the proximal aspect of the triquetrum. Intra-articular non-displaced fracture of the distal radius at the dorsal aspect. There is preserved alignment of the distal carpal row and carpometacarpal joints. Alignment of the proximal carpal row and the radiocarpal joint is disrupted.