sb/hs/nl/rg.
s Date : 00.00.00

Name of the Patient : Abc XyzGawkhalmn / M / 50 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in both the knees 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 T2 Weighted coronal images.
4 mm thick GRASS axial images.

OBSERVATION :

There is reduction in the medial tibio-femoral joint space and slight medial and anterior subluxation of the right femur over the right tibia.

Menisci

There is a complex linear, 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 most likely represents a complex tear.

The anterior horn of the medial meniscus also shows evidence of a Grade III meniscal signal (meniscal tear).

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

Cruciate Ligaments :

The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
..2/.





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 slight thinning of the articular cartilage in the medial tibio-femoral joint with reduction in joint space. Marginal osteophytes are noted around the right knee joint. There is an ill-defined, hyperintense signal on the T2 Weighted and GRASS images in the medial femoral condyle and the medial tibial plateau adjacent to the medial tibio-femoral joint. This signal appears hypointense to normal marrow on the T1 Weighted images and most likely represents degenerative changes.

The patellar cartilage is unremarkable.

A small, right knee joint effusion is noted.

IMPRESSION :

Severe osteoarthritic changes in the right knee joint with :

1. Reduction in the medial tibio-femoral joint space and slight medial and anterior subluxation of the right femur over the right tibia.

2. A tear of the anterior horn of the medial meniscus of the right knee joint.

3. A complex tear of the posterior horn of the medial meniscus.

4. Marginal osteophytes around the right knee joint with altered signal in the femur and tibia adjacent to the medial tibio-femoral joint suggesting subchondral degenerative changes.

5. Small effusion in the right knee joint.