Date : 00.00.00
Name of the Patient : Abc XyzDabholmn / F / 45 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O left knee joint pain with clicking and limitation of movement.
Alleged H/O fall 3 months ago.
M.R.I of the left 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.
Linear hyperintense signal on all the pulse sequences, not reaching upto the articular surface is noted within the posterior horns of the medial and lateral menisci. This would suggest Grade II signal (meniscal degeneration).
The anterior horns of the lateral and medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hyperintense signal on the T2 Weighted and GRASS images is noted within the soft tissues adjacent to the medial collateral ligament. This would represent soft tissue edema/contusions the result of fall.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
Hypointense signal on the T1 Weighted images which turn hyperintense on the T2 Weighted and GRASS images is seen within the lateral femoral condyle and would represent bone edema/contusion.
In the given setting of trauma, the MRI features are suggestive of bone edema/contusions within the lateral femoral condyle on the left side. Altered signal in the soft tissues of the left knee joint medially suggests soft tissue injury.