hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Mlmn / F / 49 yrs.
Referred by : Dr. Abc Xyzni / Dr. Abc Xyzhijwala.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

H/O arthroscopy of the right knee 3 years ago. Details not available.
Now C/O pain in the right knee with swelling since 6 months.

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 GRASS and T1 Weighted axial images.

OBSERVATION :

Menisci :

A linear hyperintense signal not extending upto the articular surface is seen within the posterior horn of the medial meniscus and this would suggests Grade II meniscal signal (meniscal degeneration).

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

Cruciate Ligaments :

Strands of the anterior cruciate ligament are seen. Also seen is an interemediate signal on the proton and T1 Weighted images along its course. This turns hyperintense on the GRASS images and may suggest strain/partial tear (?? synovial hypertrophy).
..2/.








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 :

An area of hypointensity on the T1 Weighted images which turn hyperintense on the GRASS images is seen within the tibial plateau in the region of the tibial spine.

Also seen is irregularity of the lateral condylar margin of the femur (? due to synovial hypertrophy).

An effusion is noted in the right knee joint space.

The patellar cartilage is unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. Grade II meniscal signal within the posterior horn of the medial meniscus of the right knee joint.

2. An effusion within the right knee joint.

3. Irregularity of the lateral condylar margin of the femur.

4. Strain/partial tear of the anterior cruciate ligament (with ?? synovial hypertrophy).