sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzn Khlmn / M / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

C/O pain in the left knee joint since 2 months with clicking. Arthroscopy done on 00.00.00 revealed a partial ACL tear.

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.

5 mm thick GRASS axial images.

OBSERVATION :

Menisci

There is a linear hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the left knee joint, not reaching upto the articular margin. This represents Grade II meniscal signal (meniscal degeneration).

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









Cruciate Ligaments :

The anterior cruciate ligament is slightly ill-defined and shows a slight hyperintense signal on the T2 Weighted and GRASS images, especially near its tibial attachment. This may represent a strain/partial tear of the anterior cruciate ligament.

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 :

There is an ill-defined, hypointense signal on all the pulse sequences in the Hoffas fat pad which may represent fibrotic changes, the sequelae of previous arthroscopic intervention.

Articular cartilage and bones :

The articular cartilage overlying the tibia and femur appears normal.

A subchondral cyst is noted along the lateral patellar facet with slight irregularity of the overlying articular cartilage.

There is minimal fluid in the left knee joint.
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IMPRESSION :

1. Post-arthroscopic status.

2. Grade II meniscal signal in the posterior horn of the medial meniscus of the left knee joint.

3. Altered signal in the anterior cruciate ligament near its tibial attachment may suggest a strain/partial tear of the anterior cruciate ligament.

4. Chondromalacia patellae.