Sunday, 27 December 2015 16:48

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Date : 00.00.00

Name of the Patient : Abc Xyz A. lmn / F / 59 yrs.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in the right knee joint since 1 month.

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 T1 Weighted and GRASS axial images.

OBSERVATION :

There is slight forward translation of the right femur over the right tibia.

Menisci

There is an irregular, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the right knee joint, extending upto the inferior articular margin. This lesion represents Grade III meniscal signal (meniscal tear).

The anterior horn of the medial meniscus and the anterior and posterior horns of the lateral menisci reveal normal configuration and signal characteristics.

Cruciate Ligaments :

There is an ill-defined, intermediate signal on the T1 Weighted images along the course of the anterior cruciate ligament. This appears hyperintense on the GRASS and STIR images and would suggest a tear (? partial) of the anterior cruciate ligament.



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 is normal.

Articular cartilage and bones :

The articular cartilage overlying the patella, tibia and femur appears normal.

Minimal marginal osteophytes are noted around the right knee joint.

A small right knee joint effusion is noted.

A subchondral cyst is noted along the superior margin of the right tibia in the region of the tibial spine.

IMPRESSION :

1. Grade III meniscal signal (meniscal tear) in the posterior horn of the medial meniscus of the right knee joint.

2. Tear of the anterior cruciate ligament.

3. Small right knee joint effusion.

4. Mild osteoarthritic changes around the right knee joint.


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