Name of the Patient : Abc XyzN. Palmn / F / 52 yrs.
Referred by : Dr. Abc Xyzi B. Shah.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain in both the knee joints with presence of a click.
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 T1 Weighted and GRASS axial images.
There is an intermediate signal on all the pulse sequences in the posterior horn of the medial meniscus of the left knee joint and not extending upto the articular margins. This most likely represents a Grade I meniscal signal.
The anterior and posterior horns of the lateral menisci and anterior horn of the medial 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.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
There is a very small, subcentimeter, subchondral hypointense signal on the T1 Weighted images along the inferior articular margin of the lateral femoral condyle. This lesion appears iso to slightly hyperintense to normal marrow on the GRASS and STIR images and may represent subchondral degenerative change. The overlying articular cartilage is unremarkable.
The articular cartilage overlying the patella and tibia also appears normal.
The MRI features are suggestive of :
1. Grade I meniscal signal in the posterior horn of the medial meniscus of the left knee joint.
2. A small, subchondral, degenerative focus along the inferior articular margin of the lateral condyle of the left femur.