Name of the Patient : Abc Xyz Shlmn / F / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
Alleged H/O fall 1 month ago.
C/O pain and swelling over the right knee joint with clicking since then.
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.
5 mm thick T1 Weighted and Gradient axial images.
The anterior and posterior horns of the lateral and 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.
- 2 - Scan-00003
Articular cartilage and bones :
There are hypointense areas in the lateral condyle of the right femur on the T1 Weighted images which are seen to turn hyperintense on the STIR images and would represent edema/bruise in the given clinical setting.
A small defect is seen in the lateral condyle of the right femur (se/im 105/8) which is hypointense on the T1 Weighted images and turn hyperintense on the Gradient images. There is lateral subluxation with lateral tilt of the patella with early osteophyte formation.
There is effusion in the right knee joint and the suprapatellar bursa.
The articular cartilage overlying the patella and tibia appears normal.
The MRI features are suggestive of :
1. Altered signal in the lateral condyle of the right femur
would represent edema/bruise in the given clinical setting.
2. An osteochondral defect in the lateral condyle of the right femur.
3. Lateral subluxation with lateral tilt of the patella with early osteophyte formation.
4. Effusion in the right knee joint and the suprapatellar bursa.