sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzedali Shlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzchani / Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in the right knee joint since 1 year.
H/O Click +.

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.

5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

OBSERVATION :

There is seen a well-marginated, approximately 6.2 x 4.1 x 6.5 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the distal end of the right femur. This lesion appears heterogeneously hyperintense on the T2 Weighted and STIR images. Resultant thinning of the cortex along the medial and posterior margin of the right femur is noted. Suspicious break of the cortex is noted along the posterior and medial margin of the distal left femur (se/im. 108.15, 16). The zone of transition between the normal and abnormal marrow is well-defined. The lesion is seen to extend well upto the distal margin of the right femur. There is however, no definite extension of the lesion into the right knee joint.





The menisci and the cruciate ligaments of the right knee joint are unremarkable. The collateral ligaments, patellar tendon and the visualized patella are unremarkable. There is no right knee joint effusion.

IMPRESSION :

An approximately 6.2 x 4.1 x 6.5 cms sized mass lesion in the distal end of the right femur as described, is not specific for a single etiology. A giant cell tumor is a likely possibility.