sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzh Barlmn / M / 17 yrs.
Referred by : Dr. Abc Xyzri / Dr. Abc Xyzauhan.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in the right knee joint on bending since 1 1/2 months.
EXAMINATION :
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.
OBSERVATION :
Menisci :
There is a linear hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the right knee joint, reaching upto the inferior articular margin. This represents Grade III meniscal signal (meniscal tear).
The anterior horns of the lateral and medial menisci and posterior horn of the lateral meniscus reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The posterior cruciate ligament shows normal contour and signal characteristics.
The anterior cruciate ligament appears slightly clumped towards its femoral attachment and shows an intermediate signal on the T1 Weighted images, proximally which appears hyperintense on the T2 Weighted images. This may suggest a strain of the anterior cruciate ligament.
..2/.
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, tibia and femur appears normal.
IMPRESSION :
The MRI features are suggestive of :
1. Grade III meniscal signal (small meniscal tear) in the posterior horn of the medial meniscus of the right knee joint.
2. Altered signal in the anterior cruciate ligament towards its femoral attachment may suggest a strain of the anterior cruciate ligament.