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sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzn Blmn / M / 39 yrs.
Referred by : Dr. Abc Xyzthari.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in the right knee joint since 6-7 days.
Alleged H/O direct injury to the right knee joint against a table 1 month back.

EXAMINATION :

M.R.I of the right knee joint was performed using the following parameters :

4 mm thick T1 Weighted and GRASS (with fat saturation) sagittal images.

4 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.

5 mm thick T1 Weighted and GRASS (with fat saturation) axial images.

OBSERVATION :

Menisci :

There is a linear hyperintense signal on all pulse sequences in the posterior horn of the medial meniscus of the right knee joint, not reaching upto the articular margin. This represents Grade II meniscal signal (meniscal degeneration).

The anterior horn of the medial and lateral menisci and posterior horn of the lateral meniscus reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
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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 :

There is a well-corticated, undisplaced, fragment of the patella along its supero-lateral quadrant which most likely suggests a bipartite patella rather than an old fractured fragment. The rest of the patella shows an ill-defined, hyperintense signal on the T2 Weightd and GRASS images (iso to slightly hypointense to normal marrow) on the T1 Weighted images and which may represent bone edema, the sequelae of previous injury. Minimal marginal osteophytosis is noted along the lateral patellar margin.

The distal end of the right femur and the proximal right tibia and fibula show normal signal intensity.

The articular cartilage overlying the patella, tibia and femur appears normal.

There is a small right knee joint effusion.

IMPRESSION :

1. Grade II meniscal signal (meniscal degeneration) in the posterior horn of the medial meniscus of the right knee joint.

2. A bipartite patella.

3. Altered signal in the rest of the patella may represent bone bruise/edema, the sequelae of previous injury.

4. Small right knee joint effusion.



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