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hs/sb/rg.

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

CLINICAL PROFILE :

C/O pain and swelling over both the knee joint with clicking.
Alleged H/O injury while playing.

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 STIR coronal images.

4 mm thick GRASS axial images.

OBSERVATION :

Menisci :

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

Cruciate Ligaments :

The anterior cruciate ligament is not well seen over its course.

The posterior cruciate ligament shows normal contour and signal characteristics.

Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.
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Hoffas Fat Pad :

The Hoffas fat pad shows irrgularly defined areas of hypointensity on the T1 Weighted images.

Articular cartilage and bones :

The articular cartilage overlying the patella shows fibrillation with presence of subchondral hypointensities on the T1 Weighted images which turn hyperintense on the GRASS images.

A well-circumscribed area of hypointensity on the T1 Weighted images which turns hyperintense on the GRASS and STIR images is seen within the medial femoral condyle and may represent a subcortical cyst.

IMPRESSION :

The MRI features are suggestive of :

1. Probable tear of the anterior cruciate ligament.

2. Chondromalacia patella.

3. A subcortical cyst along the posterior margin of the medial femoral condyle.

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