Original Interpretation MRI Knee #4

EXAM DATE: 08/10/2005 EXAM: MRI OF THE LEFT KNEE WITHOUT CONTRAST CLINICAL: Left knee pain. Twisting injury. FINDINGS: The images reveal a sizable joint effusion. The joint effusion appears to be complex with mixed signal intensity material within. The patella is slightly laterally tilted towards the left. The mid portion of the patella cartilage shows some increased signal and focal injury to the patellar cartilage is suspected. Mildly increased bone signal overlying the inferolateral portion of the patella is identified. No significant degenerative changes about the patella can be seen. The quadriceps tendon as well as the infrapatellar ligament both look intact. There is some prepatellar soft tissue edema. The bone signal shows a couple of small areas of cystic change in the proximal aspect of the tibia. NO significant areas of bone edema are appreciated. There is soft tissue edema along the lateral aspect of the knee. There is a partial tear of the lateral collateral ligament complex. The medial collateral ligament complex looks intact. A small amount of edema is identified immediately adjacent to the medial collateral ligament complex. The posterior cruciate ligament looks intact. The anterior cruciate ligament is thickened with significant increased signal. I suspect at least a high grade partial tear. The posterior horn of the medial meniscus shows some myxoid degenerative changes. The posterior horn and anterior horn of the lateral meniscus likewise shows myxoid degenerative type changes. I dont see a definite tear extending to the articular surface. IMPRESSION: 1. Sizeable joint effusion which is complex and may contain blood products. 2. Myxoid degenerative type changes medial and lateral meniscus with no definite evidence of a tear. 3. Soft tissue swelling and partial tear of the lateral collateral ligament complex. 4. At least high grade partial tear of the anterior cruciate ligament with significant thickening and increased signal of this structure. 5. The posterior cruciate ligament is intact. 6. Injury to the patellar cartilage as above.

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F&S Interpretation MRI Knee #4

EXAM DATE: 08/10/2005 EXAM: MRI LEFT KNEE CLINICAL: This is a 41 -year-old-male with knee pain, mobility loss and swelling. The patient had a twisting injury one week ago on 8/5/05. The examination was performed on 8/10/05 FINDINGS: There is intrasubstance degeneration within the medial meniscus without a discrete surfacing tear. There is intrasubstance degeneration within the lateral meniscus, and there is a probable small tear in the anterior horn along the undersurface at the meniscal root. There is an interstitial sprain/partial tear of the anterior cruciate ligament. There is no complete tear or discontinuity, and the ligament has a celery stick appearance. Normal posterior cruciate ligament. Normal medial collateral ligament. There is a sprain of the femoral attachment of the fibular collateral ligament, without complete tear or discontinuity. The fibular attachment is intact. Normal biceps femoris tendon, popliteus tendon and iliotibial band. Normal quadriceps and patellar tendons. There are no fractures. There is arthrosis, with high-grade changes in the patellofemoral compartment, particularly along the midline patellar ridge and lateral facet. There are milder changes within the medial femorotibial compartments. There are subcortical cystic changes subjacent to the tibial spine, which appear chronic. There is a joint effusion. There is synovial thickening. IMPRESSION: Probable small tear in the anterior horn of the lateral meniscus at the meniscal root. Interstitial sprain/partial tear of the anterior cruciate ligament. Arthrosis, joint effusion and synovial hypertrophy. There are several areas of focal prominent medullary fat within the medial and lateral femoral condyles

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