This case shows classic features of a CPPD (calcium pyrophosphate deposition) arthropathy at the wrist with loss of cartilage between the scaphoid and distal radius associated with subchondral sclerosis and large subchondral cysts. In adition there is loss of cartilage with subchiondral sclerosis between the capitate and lunate. The scaphoid lies more proximally and the lunate more distally, disrupting the carpal arcs of Gilula.