Name of the Patient : Abc Xyza Halmn / M / 27 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain and swelling over both the knee joints with clicking.
Alleged H/O injury while playing.
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.
4 mm thick GRASS axial images.
There is a hyperintense signal on all the pulse sequences within the anterior horn of the lateral meniscus and extending upto its inferior aspect and would represent a tear (? bucket handle tear).
The posterior horn of the lateral meniscus and the anterior and posterior horns of the medial meniscus reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior cruciate ligament is not well-visualized with a defect at its attachment to the tibia and this would suggest a tear.
The posterior cruciate ligament is unremarkable.
- 2 - Scan-00001
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are unremarkable.
Hoffas Fat Pad :
The Hoffas fat pad shows irregularly defined areas of hypointensity on the T1 Weighted images.
Articular cartilage and bones :
There are hypointense areas on the T1 Weighted images which turn hyperintense on the GRASS and STIR images within the subchondral aspect of the medial femoral and tibial condyles.
The patellar cartilage overlying the lateral condyle is irregular and would suggests chondromalacia patella.
Fluid is noted within the right knee joint.
Marginal osteophytes are noted in the femur and tibia adjacent to the right knee joint.
The MRI features are suggestive of :
1. Tear of the anterior horn of the lateral meniscus
(? bucket handle tear).
2. Tear of the anterior cruciate ligament.
3. Right knee joint effusion.
4. Chondromalacia patellae.
5. Osteoarthritic changes in the right knee joint.