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Date : 00.00.00

Name of the Patient : Abc Xlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in the right knee joint since 1 1/2 years with click +.
H/O fall 1 1/2 years ago.

EXAMINATION :

M.R.I of the _right knee joint was performed using the following parameters :

4 mm thick T1 Weighted, proton and GRASS sagittal images.

4 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick GRASS axial images (with fat saturation).

OBSERVATION :

Menisci

There is a linear hyperintense signal on all the pulse sequences (oriented vertically) within the posterior horn of the medial meniscus reaching upto the superior and inferior articular surface and would represents a complex meniscal tear (Grade III meniscal signal).

Hyperintense signal is seen in the anterior and posterior horns of the lateral menisci not reaching upto the articular surface on the T1 Weighted images and would represent a Grade I meniscal signal (meniscal degeneration).

The anterior horn of the medial meniscus reveals normal signal intensity.




Cruciate Ligaments :

The anterior cruciate is not identified and an intermediate signal intensity is seen along its course on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the T2 Weighted images and would represent a tear of the anterior cruciate ligament.

The posterior cruciate ligament shows normal contour and signal characteristics.

Collateral Ligaments and the Patellar Tendon :

Probable partial tear of the medial collateral ligament is noted anteriorly.

The lateral collateral ligaments and the patellar tendon are normal.

Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

The articular cartilage overlying the patella, tibia and femur appears normal.

Effusion is noted in the right knee joint.

IMPRESSION :

The MRI features are suggestive of :

1. A complex tear (Grade III meniscal signal) within the posterior horn of the medial meniscus reaching upto the superior and inferior articular surfaces.
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2. Altered signal in the anterior and posterior horns of the lateral menisci not reaching upto the articular surface
would represent a Grade I meniscal signal (meniscal degeneration).

3. Tear of the anterior cruciate ligament.

4. Probable partial tear of the medial collateral ligament, anteriorly.

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