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TECHNIQUE: MR study of the LEFT KNEE using 1.5 Tesla unit in multiplanar views
FINDINGS:
The following findings were noted:
1. There is diffuse thinning of the articulating cartilages, most severe in the medial femorotibial joint space
showing osteochondral lesions and reactive marrow edema in the medial proximal tibia. Exuberant spur
formation is observed in the femoral condyles, tibial plateau and patellar margins. Multiple loose bodies are
also appreciated. These findings relate to osteoarthritis, most severe in the medial femorotibial
compartment.
2. Minimal joint effusion is seen. No Baker's cyst. Lobulated cystic structures in the intercondylar notch and
posterior to the proximal tibia, measuring 1.3 x 0.6 x 1.2 cm (CC x AP x T) and 1.3 x 0.9 x 1.6 cm,
respectively, are reflective of ganglion cysts.
3. The anterior cruciate ligament is not visualized relating to chronic tear. The posterior cruciate ligament is
also thickened which may be from chronic injury. The collateral ligaments are preserved.
4. There is degeneration of the medial meniscus with complex tear at its body and posterior horn. Lateral
meniscus is intact.
5. Calcifications are noted along femoral insertion of the popliteal tendon with surrounding edema indicative
of calcific tendinosis. The bicep femoris tendon and iliotibial band are unremarkable.
6. The patella is normal in position. The quadriceps and patellar tendon, as well as the retinacula are intact.
This radiologic interpretation is only a part of the overall assessment of a patient's condition. It must be correlated with the
clinical, laboratory and other ancillary parameters for a comprehensive analysis. Therefore, radiology reports are best explained
by the attending physician of the patient.