Clear cell sarcoma is rare and difficult to diagnose. Herein, we present a case of clear cell sarcoma in the dorsum of the wrist with MRI findings, including diffusionweighted imaging, and histopathologic correlation, which was initially diagnosed as giant cell tumor of tendon sheath.Clear cell sarcoma is rare and difficult to diagnose. Herein, we present a case of clear cell sarcoma in the dorsum of the wrist with MRI findings, including diffusionweighted imaging, and histopathologic correlation, which was initially diagnosed as giant cell tumor of tendon sheath.