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Question: can anyone tell me what is going on with this report doctor can not see me till aug 29 and can barely walk can some one please translate for me MRI-1.2T RIGHT KNEE NON CONTRAST
HISTORY: Knee pain
COMPARISON: No prior MRI is available for comparison
TECHNIQUE: The right knee was imaged in a 1.2 Tesla magnetic resonance imaging unit.
Fat-saturated proton density images were obtained in the axial, coronal and sagittal
planes together with sagittal proton density images.
FINDINGS:
There is mild anterior subcutaneous edema.
There is a small joint effusion.
There is no popliteal cyst; however, there is minimal fluid extravasating within the
semimembranosus/gastrocnemius bursa and extending along the medial margin of the medial
gastrocnemius.
There is prominent bone edema within the posterior medial tibial plateau subjacent to the
posterior root of the medial meniscus compatible with either stress response or a
subcortical bone injury related to the meniscal tear..
There is chondromalacia with superficial irregularity of the articular cartilage overlying
the medial femoral condyle. There is no other evidence of arthritic change.
There is a complex vertical radial tear of the anterior free edge of the posterior horn of
the medial meniscus just medial to and extending into the posterior root.
The lateral meniscus is unremarkable in MR appearance, without evidence of degeneration or
tear.
The anterior and posterior cruciate ligaments are intact and unremarkable.
The collateral ligaments are unremarkable.
The iliotibial band, fibular collateral ligament and biceps femoris tendon are
unremarkable.
The popliteus muscle-tendon unit is unremarkable.
There is distal quadriceps and proximal patellar tendinosis with infrapatellar synovitis.
There is moderate chondromalacia patella with cartilage thinning, irregularity and deep
fissuring involving the retropatellar cartilage overlying the median ridge at the level of
the mid patella. The remainder of the retropatellar cartilage is intact.
IMPRESSION:
Small joint effusion and fluid extravasating proximally and distally within the
semimembranosus/gastrocnemius bursa and along the medial margin of the medial
gastrocnemius. There is no discrete popliteal cyst
Complex radial tear involving the anterior free edge of the posterior horn of the medial
meniscus just medial to the posterior root and extending into the posterior root. There is
prominent bone edema in the subjacent tibial plateau compatible with either stress
response or a subcortical bone injury.
Extensor tendinosis and moderate chondromalacia patella with cartilage thinning,
irregularity and deep fissuring involving the retropatellar cartilage overlying the median
ridge
Medial meniscal tear - complex, S83.231A
Patellar Chondromalacia, M94.261
Signed by: XXXXXXX Harkavy MD
Signed Date: 8/13/2019 3:00 PM EDT
HISTORY: Knee pain
COMPARISON: No prior MRI is available for comparison
TECHNIQUE: The right knee was imaged in a 1.2 Tesla magnetic resonance imaging unit.
Fat-saturated proton density images were obtained in the axial, coronal and sagittal
planes together with sagittal proton density images.
FINDINGS:
There is mild anterior subcutaneous edema.
There is a small joint effusion.
There is no popliteal cyst; however, there is minimal fluid extravasating within the
semimembranosus/gastrocnemius bursa and extending along the medial margin of the medial
gastrocnemius.
There is prominent bone edema within the posterior medial tibial plateau subjacent to the
posterior root of the medial meniscus compatible with either stress response or a
subcortical bone injury related to the meniscal tear..
There is chondromalacia with superficial irregularity of the articular cartilage overlying
the medial femoral condyle. There is no other evidence of arthritic change.
There is a complex vertical radial tear of the anterior free edge of the posterior horn of
the medial meniscus just medial to and extending into the posterior root.
The lateral meniscus is unremarkable in MR appearance, without evidence of degeneration or
tear.
The anterior and posterior cruciate ligaments are intact and unremarkable.
The collateral ligaments are unremarkable.
The iliotibial band, fibular collateral ligament and biceps femoris tendon are
unremarkable.
The popliteus muscle-tendon unit is unremarkable.
There is distal quadriceps and proximal patellar tendinosis with infrapatellar synovitis.
There is moderate chondromalacia patella with cartilage thinning, irregularity and deep
fissuring involving the retropatellar cartilage overlying the median ridge at the level of
the mid patella. The remainder of the retropatellar cartilage is intact.
IMPRESSION:
Small joint effusion and fluid extravasating proximally and distally within the
semimembranosus/gastrocnemius bursa and along the medial margin of the medial
gastrocnemius. There is no discrete popliteal cyst
Complex radial tear involving the anterior free edge of the posterior horn of the medial
meniscus just medial to the posterior root and extending into the posterior root. There is
prominent bone edema in the subjacent tibial plateau compatible with either stress
response or a subcortical bone injury.
Extensor tendinosis and moderate chondromalacia patella with cartilage thinning,
irregularity and deep fissuring involving the retropatellar cartilage overlying the median
ridge
Medial meniscal tear - complex, S83.231A
Patellar Chondromalacia, M94.261
Signed by: XXXXXXX Harkavy MD
Signed Date: 8/13/2019 3:00 PM EDT
can anyone tell me what is going on with this report doctor can not see me till aug 29 and can barely walk can some one please translate for me MRI-1.2T RIGHT KNEE NON CONTRAST
HISTORY: Knee pain
COMPARISON: No prior MRI is available for comparison
TECHNIQUE: The right knee was imaged in a 1.2 Tesla magnetic resonance imaging unit.
Fat-saturated proton density images were obtained in the axial, coronal and sagittal
planes together with sagittal proton density images.
FINDINGS:
There is mild anterior subcutaneous edema.
There is a small joint effusion.
There is no popliteal cyst; however, there is minimal fluid extravasating within the
semimembranosus/gastrocnemius bursa and extending along the medial margin of the medial
gastrocnemius.
There is prominent bone edema within the posterior medial tibial plateau subjacent to the
posterior root of the medial meniscus compatible with either stress response or a
subcortical bone injury related to the meniscal tear..
There is chondromalacia with superficial irregularity of the articular cartilage overlying
the medial femoral condyle. There is no other evidence of arthritic change.
There is a complex vertical radial tear of the anterior free edge of the posterior horn of
the medial meniscus just medial to and extending into the posterior root.
The lateral meniscus is unremarkable in MR appearance, without evidence of degeneration or
tear.
The anterior and posterior cruciate ligaments are intact and unremarkable.
The collateral ligaments are unremarkable.
The iliotibial band, fibular collateral ligament and biceps femoris tendon are
unremarkable.
The popliteus muscle-tendon unit is unremarkable.
There is distal quadriceps and proximal patellar tendinosis with infrapatellar synovitis.
There is moderate chondromalacia patella with cartilage thinning, irregularity and deep
fissuring involving the retropatellar cartilage overlying the median ridge at the level of
the mid patella. The remainder of the retropatellar cartilage is intact.
IMPRESSION:
Small joint effusion and fluid extravasating proximally and distally within the
semimembranosus/gastrocnemius bursa and along the medial margin of the medial
gastrocnemius. There is no discrete popliteal cyst
Complex radial tear involving the anterior free edge of the posterior horn of the medial
meniscus just medial to the posterior root and extending into the posterior root. There is
prominent bone edema in the subjacent tibial plateau compatible with either stress
response or a subcortical bone injury.
Extensor tendinosis and moderate chondromalacia patella with cartilage thinning,
irregularity and deep fissuring involving the retropatellar cartilage overlying the median
ridge
Medial meniscal tear - complex, S83.231A
Patellar Chondromalacia, M94.261
Signed by: XXXXXXX Harkavy MD
Signed Date: 8/13/2019 3:00 PM EDT
HISTORY: Knee pain
COMPARISON: No prior MRI is available for comparison
TECHNIQUE: The right knee was imaged in a 1.2 Tesla magnetic resonance imaging unit.
Fat-saturated proton density images were obtained in the axial, coronal and sagittal
planes together with sagittal proton density images.
FINDINGS:
There is mild anterior subcutaneous edema.
There is a small joint effusion.
There is no popliteal cyst; however, there is minimal fluid extravasating within the
semimembranosus/gastrocnemius bursa and extending along the medial margin of the medial
gastrocnemius.
There is prominent bone edema within the posterior medial tibial plateau subjacent to the
posterior root of the medial meniscus compatible with either stress response or a
subcortical bone injury related to the meniscal tear..
There is chondromalacia with superficial irregularity of the articular cartilage overlying
the medial femoral condyle. There is no other evidence of arthritic change.
There is a complex vertical radial tear of the anterior free edge of the posterior horn of
the medial meniscus just medial to and extending into the posterior root.
The lateral meniscus is unremarkable in MR appearance, without evidence of degeneration or
tear.
The anterior and posterior cruciate ligaments are intact and unremarkable.
The collateral ligaments are unremarkable.
The iliotibial band, fibular collateral ligament and biceps femoris tendon are
unremarkable.
The popliteus muscle-tendon unit is unremarkable.
There is distal quadriceps and proximal patellar tendinosis with infrapatellar synovitis.
There is moderate chondromalacia patella with cartilage thinning, irregularity and deep
fissuring involving the retropatellar cartilage overlying the median ridge at the level of
the mid patella. The remainder of the retropatellar cartilage is intact.
IMPRESSION:
Small joint effusion and fluid extravasating proximally and distally within the
semimembranosus/gastrocnemius bursa and along the medial margin of the medial
gastrocnemius. There is no discrete popliteal cyst
Complex radial tear involving the anterior free edge of the posterior horn of the medial
meniscus just medial to the posterior root and extending into the posterior root. There is
prominent bone edema in the subjacent tibial plateau compatible with either stress
response or a subcortical bone injury.
Extensor tendinosis and moderate chondromalacia patella with cartilage thinning,
irregularity and deep fissuring involving the retropatellar cartilage overlying the median
ridge
Medial meniscal tear - complex, S83.231A
Patellar Chondromalacia, M94.261
Signed by: XXXXXXX Harkavy MD
Signed Date: 8/13/2019 3:00 PM EDT
Brief Answer:
Detailed explanation of the findings and possible treatment modalities
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
I carefully read the knee MRI report.
There are a few changes that the MRI has identified. To better assess them it is important to know the reason why you did the MRI. What are your complaints and if there was a preceding trauma or not.
As for the changes, these include:
- meniscal tear- this is a very common finding during MRI examination of the knees and may be due to an old damage or a recent one. If you had a trauma recently very likely this is a new event and may also justify the pain, swelling in the knee joint and also the presence of some fluids that are in the areas around.
- there is Chondromalacia of the patella and also on the femur condyle (the thigh bone, at the area that is part of the knee joint). This is a thinning of the cartilage of the joint surfaces. This is generally a more chronic condition and may be due to repetitive activities in years. It is a common finding after 40 years of age but may cause some discomfort.
- there is synovitis (thickening of the layers that encapsulate the knee joint) under the patella and also the tendon of the quadriceps muscle (anterior thigh muscle at the level it attaches to the knee cup- patella) is thickened as well. This may be due to chronic inflammation in the joint or due to trauma.
To conclude:
- there are changes in the knee MRI, whose related symptoms most likely will respond to a high dose of Ibuprofen (800 mg every 6 hours after food), rest, ice, elevation.
- Physiotherapy may be very helpful to relieve pain and discomfort with almost all the changes noticed in the MRI
- the inner structures of the knee, which are also very important to keep the knee stable (the ligaments inside and the lateral ligaments) are intact so the knee should feel stable, even though it may be painful. I do not know much what happened and of your symptoms but very likely surgery is not the treatment needed at the moment.
- the doctor may choose arthroscopic intervention though, to help you improve faster (this is done through a camera in the knee and removing of the extra pieces of the meniscus or thickened layers of the joint capsule, etc) This is even more important if your knee locks, meaning sometimes it gets blocked in a certain position and you can not straighten it and after a while you start to move it again.
I do not think the knee damages are urgent (other than the need to control the pain if it is present). It would be urgent if the knee feels unstable or you have the locking that I mentioned above or if the knee is red or feels hot (chance of infection). In these cases, you will need to go urgently to the ER.
I hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
Detailed explanation of the findings and possible treatment modalities
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
I carefully read the knee MRI report.
There are a few changes that the MRI has identified. To better assess them it is important to know the reason why you did the MRI. What are your complaints and if there was a preceding trauma or not.
As for the changes, these include:
- meniscal tear- this is a very common finding during MRI examination of the knees and may be due to an old damage or a recent one. If you had a trauma recently very likely this is a new event and may also justify the pain, swelling in the knee joint and also the presence of some fluids that are in the areas around.
- there is Chondromalacia of the patella and also on the femur condyle (the thigh bone, at the area that is part of the knee joint). This is a thinning of the cartilage of the joint surfaces. This is generally a more chronic condition and may be due to repetitive activities in years. It is a common finding after 40 years of age but may cause some discomfort.
- there is synovitis (thickening of the layers that encapsulate the knee joint) under the patella and also the tendon of the quadriceps muscle (anterior thigh muscle at the level it attaches to the knee cup- patella) is thickened as well. This may be due to chronic inflammation in the joint or due to trauma.
To conclude:
- there are changes in the knee MRI, whose related symptoms most likely will respond to a high dose of Ibuprofen (800 mg every 6 hours after food), rest, ice, elevation.
- Physiotherapy may be very helpful to relieve pain and discomfort with almost all the changes noticed in the MRI
- the inner structures of the knee, which are also very important to keep the knee stable (the ligaments inside and the lateral ligaments) are intact so the knee should feel stable, even though it may be painful. I do not know much what happened and of your symptoms but very likely surgery is not the treatment needed at the moment.
- the doctor may choose arthroscopic intervention though, to help you improve faster (this is done through a camera in the knee and removing of the extra pieces of the meniscus or thickened layers of the joint capsule, etc) This is even more important if your knee locks, meaning sometimes it gets blocked in a certain position and you can not straighten it and after a while you start to move it again.
I do not think the knee damages are urgent (other than the need to control the pain if it is present). It would be urgent if the knee feels unstable or you have the locking that I mentioned above or if the knee is red or feels hot (chance of infection). In these cases, you will need to go urgently to the ER.
I hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
Detailed explanation of the findings and possible treatment modalities
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
I carefully read the knee MRI report.
There are a few changes that the MRI has identified. To better assess them it is important to know the reason why you did the MRI. What are your complaints and if there was a preceding trauma or not.
As for the changes, these include:
- meniscal tear- this is a very common finding during MRI examination of the knees and may be due to an old damage or a recent one. If you had a trauma recently very likely this is a new event and may also justify the pain, swelling in the knee joint and also the presence of some fluids that are in the areas around.
- there is Chondromalacia of the patella and also on the femur condyle (the thigh bone, at the area that is part of the knee joint). This is a thinning of the cartilage of the joint surfaces. This is generally a more chronic condition and may be due to repetitive activities in years. It is a common finding after 40 years of age but may cause some discomfort.
- there is synovitis (thickening of the layers that encapsulate the knee joint) under the patella and also the tendon of the quadriceps muscle (anterior thigh muscle at the level it attaches to the knee cup- patella) is thickened as well. This may be due to chronic inflammation in the joint or due to trauma.
To conclude:
- there are changes in the knee MRI, whose related symptoms most likely will respond to a high dose of Ibuprofen (800 mg every 6 hours after food), rest, ice, elevation.
- Physiotherapy may be very helpful to relieve pain and discomfort with almost all the changes noticed in the MRI
- the inner structures of the knee, which are also very important to keep the knee stable (the ligaments inside and the lateral ligaments) are intact so the knee should feel stable, even though it may be painful. I do not know much what happened and of your symptoms but very likely surgery is not the treatment needed at the moment.
- the doctor may choose arthroscopic intervention though, to help you improve faster (this is done through a camera in the knee and removing of the extra pieces of the meniscus or thickened layers of the joint capsule, etc) This is even more important if your knee locks, meaning sometimes it gets blocked in a certain position and you can not straighten it and after a while you start to move it again.
I do not think the knee damages are urgent (other than the need to control the pain if it is present). It would be urgent if the knee feels unstable or you have the locking that I mentioned above or if the knee is red or feels hot (chance of infection). In these cases, you will need to go urgently to the ER.
I hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
Detailed explanation of the findings and possible treatment modalities
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
I carefully read the knee MRI report.
There are a few changes that the MRI has identified. To better assess them it is important to know the reason why you did the MRI. What are your complaints and if there was a preceding trauma or not.
As for the changes, these include:
- meniscal tear- this is a very common finding during MRI examination of the knees and may be due to an old damage or a recent one. If you had a trauma recently very likely this is a new event and may also justify the pain, swelling in the knee joint and also the presence of some fluids that are in the areas around.
- there is Chondromalacia of the patella and also on the femur condyle (the thigh bone, at the area that is part of the knee joint). This is a thinning of the cartilage of the joint surfaces. This is generally a more chronic condition and may be due to repetitive activities in years. It is a common finding after 40 years of age but may cause some discomfort.
- there is synovitis (thickening of the layers that encapsulate the knee joint) under the patella and also the tendon of the quadriceps muscle (anterior thigh muscle at the level it attaches to the knee cup- patella) is thickened as well. This may be due to chronic inflammation in the joint or due to trauma.
To conclude:
- there are changes in the knee MRI, whose related symptoms most likely will respond to a high dose of Ibuprofen (800 mg every 6 hours after food), rest, ice, elevation.
- Physiotherapy may be very helpful to relieve pain and discomfort with almost all the changes noticed in the MRI
- the inner structures of the knee, which are also very important to keep the knee stable (the ligaments inside and the lateral ligaments) are intact so the knee should feel stable, even though it may be painful. I do not know much what happened and of your symptoms but very likely surgery is not the treatment needed at the moment.
- the doctor may choose arthroscopic intervention though, to help you improve faster (this is done through a camera in the knee and removing of the extra pieces of the meniscus or thickened layers of the joint capsule, etc) This is even more important if your knee locks, meaning sometimes it gets blocked in a certain position and you can not straighten it and after a while you start to move it again.
I do not think the knee damages are urgent (other than the need to control the pain if it is present). It would be urgent if the knee feels unstable or you have the locking that I mentioned above or if the knee is red or feels hot (chance of infection). In these cases, you will need to go urgently to the ER.
I hope this answers your query. I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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