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Name of the Patient : Abc XyzPunalmn / M / 22 yrs.
Referred by : Dr. Abc Xyznamiya.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

Alleged H/O vehicular accident 15 days back with pain and swelling over the left knee joint since then.

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 :

Articular cartilage and bones :

There is seen an ill-defined, hyperintense signal on the T1 Weighted images in the medial condyle of the left femur. This lesion appears hyperintense on the GRASS and STIR images. Slight depression of the cortex along the medial margin of the medial femoral condyle is noted with a probable break. The deep fibres of the medial collateral ligament and the medial patellar retinaculum, however, appears intact. The superficial fibres of the medial collateral ligament show intermediate signal on the T1 Weighted images and hyperintense signal on the STIR images suggestive of a strain. Altered signal is noted deep to the tendon of the vastus medialis muscle which may represent a small amount of fluid/blood (scans 105.7, 107.7, 108.12, 109.12, 102.4, 106.4).

The articular cartilage overlying the patella, tibia and femur appears normal.
..2/.







Menisci :

Grade I meniscal signal is noted in the posterior horn of the medial meniscus of the left knee joint.

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

Cruciate Ligaments :

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

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.

IMPRESSION :

Altered signal in the medial condyle of the left femur suggest bone bruise. Slight depression of the cortex along the medial margin of the medial femoral condyle may suggest a suspicious depressed fracture. Minimal fluid is noted deep to the tendon of the vastus medialis muscle.


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