Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 33 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
H/O fall 6 months back with pain and swelling over the left knee joint since then.
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 (with fat saturation) coronal images.
4 mm thick T1 Weighted and GRASS axial images.
There is evidence of an area of hypointensity on the T1 Weighted images which turns hyperintense on the T2 Weighted and GRASS images in the region of Hoffas pad and posterior to the quadriceps tendon. This most likely represents synovial thickening. A few areas of hypointensity on the GRASS images are also seen within this lesion. Slight effusion is seen within the left knee joint.
A linear hyperintense signal, not reaching upto the articular surface is seen within the posterior horn of the medial meniscus. This would represent Grade I meniscal signal (degeneration).
The anterior and posterior cruciate ligaments and the rest of the menisci are unremarkable. The visualized femur, tibia and patellar are unremarkable.
The MRI features are suggestive of synovial thickening around the left knee joint as described. Pigmented villo nodular synovitis may be considered.
A contrast enhanced scan may be worthwhile.