MRI EXAMINATION OF THE RIGHT KNEE WITHOUT CONTRAST

MRI EXAMINATION OF THE RIGHT KNEE WITHOUT CONTRAST

INDICATION FOR STUDY:         717.9.  Pain.

FINDINGS:               Axial, sagittal, and coronal images were obtained on the 1.5 Tesla GE MRI.  There is a Baker’s cyst.  There are significant degenerative changes and degenerative joint disease at the medial aspect.  There is significant joint space loss.  There are degenerative cystic changes and possibly osteonecrosis especially at the tibial aspect, but also noted at the femoral condyle.  There is degenerative meniscal tear along the medial aspect.  This is noted in the posterior horn of the medial meniscus.  There are intrasubstance degenerative changes in the remainder of the menisci.  The anterior and posterior cruciate ligament, medial and lateral collateral ligament, and quadriceps patellar tendon are intact.  There is small amount of joint fluid.

IMPRESSION:         Significant degenerative changes and degenerative joint disease.  Significant changes noted on the medial aspect both at the femoral condyle and medial tibia, especially in the tibial region.  These appear chronic in nature.  There is a degenerative meniscal tear in the posterior horn of the medial meniscus.  There is small Baker’s cyst.  Would recommend further evaluation as needed.

Thank you for the referral.

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