Date : 00.00.00
Name of the Patient : Abc XyzSulmn / F / 39 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain and swelling over the left knee since 1 1/2 months.
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.
A curvilinear hyperintense signal is seen in the posterior horn of the medial meniscus on all the pulse sequences not reaching upto the articular surface and would represent Grade II meniscal signal (meniscal degeneration).
The anterior and posterior horns of the lateral menisci and the anterior horn of the medial meniscus reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Collateral Ligaments and Patellar tendons :
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, tibia and femur appears normal.
Minimal fluid is seen just lateral to the lateral condyle. Tortuous vessels are seen in the popliteal region.
Patella and Patellar Tracking :
There is lateral tilt of the patella bilaterally with a large lateral patellar facet suggestive of Wiberg Type II patella.
Patellar tracking was performed from 0 (extension) to 80 degrees (flexion) at the knee joint. There is lateral tilt of the patella bilaterally which is seen to subluxate medially and is in normal position at 60 degrees. This would be suggestive of lateral - medial subluxation.
1. Grade II meniscal signal (meniscal degeneration) of the
posterior horn of the medial meniscus.
2. Lateral - medial subluxation of the Patella.