I think the lunate-capitate alignment is ok.
This is a case of Kienbock's disease, which is avascular necrosis of the lunate. Initially, radiographs are negative. Later, the bone becomes sclerotic on radiographs, which is why it appears asymmetrically denser compared to the remaining carpal bones. Eventually, you get collapse of the lunate, which leads to advanced secondary osteoarthritis.
It is associated with negative ulnar variance, where the distal radial epiphysis protrudes distal to the distal ulnar epiphysis. One hypothesis, not proven, is that with negative ulnar variance,