Date : 00.00.00
Name of the Patient : Abc XyzMlmn / M / 32 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
H/O fall from a loft in January 0000 with injury to both knees. C/O pain in both knees with click and locking since then.
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.
There is a hyperintense signal in the posterior horn of the medial meniscus on all the pulse sequences reaching upto the inferior articular surface and would represent Grade III meniscal signal (meniscal tear).
Linear hyperintense signal is seen in the anterior horn of the lateral and medial meniscus not reaching upto the inferior articular surface and represents Grade II meniscal signal (meniscal degeneration).
The posterior horn of the lateral meniscus reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior cruciate ligament is not seen in its entireity. An intermediate signal intensity is seen in its portion adjacent to the femur on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the GRASS images suggestive of complete tear.
The posterior cruciate ligament shows normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and 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 and femur appears normal.
Subcutaneous edema (with ? fat necrosis) is seen anterior and lateral to the patella.
There appears to be a fracture of the lateral tibial plateau with an underlying bone bruise.
Effusion is seen in the right knee joint.
- 3 - Scan-00009
1. Grade III meniscal signal (meniscal tear) in the posterior horn of the medial meniscus of the right knee joint.
2. Complete tear of the anterior cruciate ligament.
3. Fracture of the lateral tibial plateau with bone bruise.
4. Effusion within the right knee joint.