Distal metaphyseal radial fracture with coexisting ulnar styloid fracture - Frykman type IV.
There appears to be a transverse fracture line. Separation of the articular surface by approximately 1.5 mm. The proximal articular surface of the radiocarpal joint is disrupted with a fragment that includes approximately 40% of the articular surface.
Erosion and reactive sclerosis on both sides of the 1st carpometacarpal joint (CMCJ). Erosions in all the proximal interphalangeal joints (PIPJ) and interphalangeal joint of the thumb. Periarticular osteophytes in all of said joints and the distal interphalangeal joints (DIPJ). Radiographic picture consistent with erosive osteoarthritis.