sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzDlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in the right knee with locking since 2 days.
H/O aspiration of the right knee done in 0000.

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 Fast Scan (T2 *) axial images.

OBSERVATION :

There is slight medial and posterior subluxation of the right femur over the right tibia.

Menisci :

There is an ill-marginated, 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 meniscal tear.

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

Cruciate Ligaments :

There is slight thinning and irregularity of the anterior cruciate ligament at its femoral attachment, without change in signal intensity which may suggest a chronic partial tear of the anterior cruciate ligament. Buckling of the posterior cruciate ligament is noted without change in signal intensity.
..2/.





Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.

There is irregularity of the medial patellar retinaculum.

Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

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

There is a small, subchondral degenerative cyst/pit along the inferior articular margin of the medial femoral condyle (scans 105.11, 106.11).

A small amount of fluid is noted in the right knee joint.

IMPRESSION :

1. Slight medial and posterior subluxation of the right femur over the right tibia.

2. Meniscal tear in the posterior horn of the medial meniscus of the right knee joint.

3. Chronic partial tear of the anterior cruciate ligament towards its femoral attachment, with buckling of the posterior cruciate ligament.

4. Degenerative subchondral cyst/pit along the inferior articular margin of the medial femoral condyle.

5. Small amount of fluid in the right knee joint.