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 Left Knee Joint.

CLINICAL PROFILE :

C/O pain in both the knees since 1 month.

EXAMINATION :

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 T2 Weighted coronal images.

4 mm thick GRASS axial images.

OBSERVATION :

There is reduction in the medial tibio-femoral joint space.

Menisci

There is a linear, hyperintense signal on all the pulse sequences in the anterior and posterior horns of the medial meniscus of the left knee joint not reaching upto the articular margin. This suggests Grade II meniscal degeneration.

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.


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 left knee joint. There is an ill-defined, hyperintense signal on the T2 Weighted and GRASS images in 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 subchondral, degenerative changes.

The patellar cartilage is unremarkable.

A small, left knee joint effusion is noted.

IMPRESSION :

Osteoarthritic changes in the left knee joint with :

1. Reduction in the medial tibio-femoral joint space.

2. Grade II meniscal signal (meniscal degeneration) in the anterior and posterior horns of the medial meniscus of the left knee joint.

3. Marginal osteophytes around the left knee joint with altered signal in the tibia adjacent to the medial tibio-femoral joint suggesting subchondral degenerative changes.

4. Small effusion in the left knee joint.