Name of the Patient : Abc Xyzit Dlmn / M / 29 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain in the left knee joint.
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 Fast Scan (T2 *) axial images.
There is a vertically oriented, hyperintense signal on all the pulse sequences in the posterior horn of the lateral meniscus of the left knee joint extending upto the superior articular margin. This most likely represents a vertical tear.
The posterior horn of the medial meniscus of the left knee joint appears slightly blunted and shows a horizontally oriented, hyperintense signal on all the pulse sequences reaching upto the articular margins. This most likely represents a horizontal flap tear.
The anterior horns of the lateral and medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior cruciate ligament is not well identified in its entirety (few fibres are noted at its femoral attachment) and is in all probability torn.
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.
Hoffas Fat Pad :
The Hoffas fat pad shows a hyperintense signal on the GRASS and STIR images and is most likely the sequelae of arthroscopic intervention.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
There is a small left knee joint effusion. Fluid/edema is also noted in the subcutaneous tissues anterior to the patellar tendon.
1. Post-operative status (Previous arthroscopy details not available).
- 3 - Scan-00005
2. A vertically oriented tear in the posterior horn of the lateral meniscus.
3. Horizontal flap tear in the posterior horn of the medial meniscus of the left knee joint. The changes in the posterior horn of the medial meniscus being due to a previous arthroscopic intervention cannot be excluded.
4. Near complete tear of the anterior cruciate ligament (few fibres are noted at its femoral attachment).
5. Left knee joint effusion.