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Name of the Patient : Abc XyzDlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

C/O left knee joint pain with swelling and limitation of joint movement with clicking.

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 GRASS axial images.

OBSERVATION :

Menisci :

There is evidence a hyperintense signal on all the pulse sequences within the posterior horn of the medial meniscus. This is seen to reach upto the inferior articular surface and would most likely represent a tear (Grade III meniscal signal) (Scans 104.14, 102.14, 109.14).

The anterior and posterior horns of the lateral meniscus and 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.
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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 :

Hyperintense signal is seen within the medial aspect of the medial tibial plateau on the STIR images (hypointense on the T1 Weighted images) and this may represent bone edema.

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

Note is made of fluid (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted, STIR and GRASS images) within the left knee joint.

IMPRESSION :

The MRI features are suggestive of :

1. A tear of the posterior horn of the medial meniscus of the left knee joint.

2. Left knee joint effusion.
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