Displaying items by tag: cartilage

Date : 00.00.00

Name of the Patient : Abc XyzR. Nlmn / F / 42 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

H/O HT and thyroid on treatment.
C/O pain and swelling over the right knee joint since 4 months.
H/O fall 2-3 times within 4 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 T2 Weighted coronal images.

5 mm thick GRASS axial images.

OBSERVATION :

Menisci

A hyperintense signal is seen within the anterior and posterior horns of the medial meniscus not reaching upto the inferior articular surface and would represent Grade II meniscal signal (meniscal degeneration).

The anterior horn and the posterior horn of the lateral meniscus 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.
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Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

The articular cartilage overlying the patella on its medial facet appears slightly thin suggesting chondromalacia patellae.

The articular cartilage overlying the tibia and femur appears normal.

There is an ill-defined hypointense area along the medial aspect of the tibial plateau on the T1 Weighted images and is seen to turn hyperintense on the T2 Weighted and GRASS images and would represent bone contusion in the given clinical setting.

Ill-defined hypointense area is seen in the metaphyseal region and in the upper shaft of the tibia and the lower shaft of the femur on the T1 Weighted images which is seen to turn hyperintense on the T2 Weighted and GRASS images would represent marrow inhomogenity. Fatty changes are also noted in all the bones.

Mild effusion is noted in the right knee joint and in the suprapatellar bursa.

Osteophytic lippings are also noted along the medial and lateral aspects of the femur and tibia.

IMPRESSION :

1. Bone contusions along the medial aspect of the tibial plateau.

2. Mild effusion in the right knee joint.

3. Grade II meniscal signal (meniscal degeneration) within the posterior horn of the medial meniscus.

4. Inhomogenity of the marrow of the tibia and femur with fatty chagnes suggestive of osteoporosis.

5. Chondromalacia patellae.