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Name of the Patient : Abc XyzKlmn / M / 41 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the right Knee Joint.

CLINICAL PROFILE :

C/O pain in the right knee and downwards.

EXAMINATION :

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 and T1 Weighted axial images.

OBSERVATION :

Menisci :

There is evidence of a linear hyperintense signal on all the pulse sequences within the posterior horn of the medial meniscus. This does not reach upto the articular surface and would represent Grade II meniscal signal (meniscal degeneration).

The anterior horns of the lateral and medial menisci
and the posterior horn of the lateral meniscus 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.
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Hoffas Fat Pad :

Hoffas fat pad shows areas of hypointensity on the T1 Weighted images within it and these may represent fibrous tissue.

Articular cartilage and bones :

Focal hypointensity on the T1 Weighted images is seen in the subchondral aspect of the medial femoral condyle with a slight interruption of the inner cartilage margin.

Very minimal fluid is seen within the left knee joint. Also seen is synovial thickening in the region of the suprapatellar bursa.

IMPRESSION :

The MRI features are suggestive of :

1. Altered signal within the posterior horn of the medial meniscus of the right knee joint would represent Grade II meniscal signal (meniscal degeneration).

2. Very minimal fluid within the left knee joint.

3. Synovial thickening in the region of the suprapatellar bursa.

4. Probable osteochondritis dessicans in the subchondral aspect of the medial femoral condyle.
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