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Name of the Patient : Abc XyzJolmn / M / 27 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

C/O pain in the left knee with slight stiffness and clicking since 2 months.
Alleged H/O fall 2 months ago.

EXAMINATION :

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 T1 Weighted and GRASS axial images.

OBSERVATION :

Menisci :

There is a curvilinear hyperintense signal in the posterior and anterior horns of the lateral meniscus and posterior horn of the medial meniscus not reaching upto the articular surface. This would represent Grade II meniscal signal (meniscal degeneration).

The anterior horn of the medial meniscus reveals normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior cruciate ligament shows normal contour and signal characteristics.

There is an ill-defined, hyperintense signal on the GRASS and STIR images along the course of the anterior cruciate ligament. This may suggest a partial tear/strain of the ACL.
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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 :

A well-defined, lobulated mass lesion is seen in the popliteal fossa, medially which is slightly hyperintense to muscle on the T1 Weighted images and turns more hyperintense on the T2 Weighted, STIR and Gradient images. Few septae are noted within this lesion. This most probably represents a popliteal cyst.

Fluid is seen within the left knee joint and the suprapatellar bursa.

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

IMPRESSION :

1. Altered signal in the posterior and anterior horns of the medial meniscus and posterior horn of the lateral meniscus of the left knee joint would represent Grade II meniscal signal (meniscal degeneration).

2. A lobulated mass lesion in the popliteal fossa, medially, most probably represents a popliteal cyst.

3. Effusion within the left knee joint and the suprapatellar bursa.

4. Altered signal along the course of the ACL may suggest a strain/partial tear of the ACL.

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