sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzal Palmn / M / 85 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain (on bending) and swelling over the right knee joint since 3 months.
H/O fall 3-4 months back.

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.

5 mm thick GRASS axial images.

OBSERVATION :

Menisci

There is a linear hyperintense signal on all the pulse sequences in the anterior and posterior horns of the medial and lateral menisci, not reaching upto the articular margin. This represents Grade II meniscal signal (meniscal degeneration).

Cruciate Ligaments :

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



- 2 - scan-00008


Collateral Ligaments and the Patellar Tendon :

The medial and latearl collateral ligaments are normal. There is slight buckling of the quadriceps tendon.

Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

There is slight irregularity of the articular cartilage overlying the lateral condyle of the patellae. Underlying cystic changes (hyperintense on the GRASS images) are seen. This would represent chondromalacic patellae.

The articular cartilage overlying the tibia and femur appears normal.

There is moderate sized, right knee joint effusion. Ill-defined, hyperintense signal on the T2 Weighted and GRASS images is noted in the subcutaneous fat around the right knee joint which may represent soft tissue injury/cellulitis.

IMPRESSION :

1. Grade II meniscal signal (meniscal degeneration)
in the anterior and posterior horns of the medial and lateral menisci.

2. Moderate sized, right knee joint effusion.

3. Altered signal in the subcutaneous fat around the right knee joint may represent soft tissue injury/cellulitis.

4. Chondromalacia patellae.