Date : 00.00.00
Name of the Patient : Abc Xyza Khuslmn / F / 52 yrs.
Referred by : Dr. Abc Xyzni
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
H/O fall 3-4 months ago.
C/O pain and swelling in the right knee joint with locking.
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 STIR coronal images.
4 mm thick Fast Scan (T2 *) axial images.
There is a complex tear of the posterior horn of the medial meniscus. A fluid collection is seen in connection within the posterior horn of the lateral meniscus and may represent a parameniscal cyst.
The anterior horn of the lateral and medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior cruciate ligament is not well-visualized. Areas of intermediate signal intensity are seen along the course of the anterior cruciate ligament and this may suggest a partial tear/strain.
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 posterior margin of the Hoffas fat pad is irregular and this may suggest synovial thickening.
An effusion is seen in the right knee joint.
Articular cartilage and bones :
The articular cartilage overlying the patella is thinned out and irregular.
A subchondral cyst (hypointense on the T1 Weighted images and hyperintense on the GRASS and STIR images) is seen along the medial condyle of the femur. Hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted and STIR images are seen within the lateral tibial plateau and this may represent bone edema/bruise.
Osteophytic lipping is seen along the patello-femoro-tibial joint.
The MRI features are suggestive of :
1. A complex tear of the posterior horn of the medial meniscus.
- 3 - Scan-00005
2. A parameniscal cyst along the posterior horn of the lateral meniscus.
3. A right knee joint effusion with synovial thickening.
4. A probable partial tear/strain of the anterior cruciate ligament.
5. Chondromalacia patellae.
6. Osteoarthritic changes around the right knee joint.
7. Bone bruise/edema in the lateral tibial plateau.