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Author Topic: MRI results  (Read 2048 times)

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Offline The1Voices

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MRI results
« on: April 02, 2005, 05:23:58 AM »
Could someone please give me a detailed and comprehensive explanation of my MRI results.

______________________________________________________________________________________________________

MRI OF THE RIGHT KNEE

INDICATIONS: Right knee pain, injury

TECHNIQUE: A MRI scan of the right knee was performed in the sagittai, coronal and axial planes with T1 and T2-weighted fat saturated spin echo pulse sequences.

FINDINGS: Images demonstrate increased signal within the periphery of the medial and lateral femoral condyles as well as more extensive edema within the proximal tibia, consistent with marrow contusions. There is no evidence of descrete fracture.

There is a large intraarticular effusion with evidence for suprapatellar as well as small medial and lateral patella plica.

Images through the menisci demonstrate a somewhat complex tear of the posterior horn of the lateral meniscus. The body and anterior horn are unremarkable. The medial meniscus shows intrameniscal signal of ht e body and posterior horn. The signal extends possible to the peripheral margin of the posterior horn. A focal peripheral tear cannot be excluded. There is no evidence for tear extending to the free margin of the medial meniscus. The posterior cruciate ligament is normal. There is diffuse abnormal signal within the anterior cruciate ligament indicating a least partial tear. A rupture at the femoral insertion cannot be excluded

The medial collateral and lateral collateral ligaments are intact.

The quadriceps and patellar tendons are normal

The articular surfaces show somewhat diffuse chondral narrowing of the latera tibial and femoral condyles. There are no discrete defects. The patellar medial articulating facet also shows diffuse chondral narrowing.

There is a popliteal cyst posteriorly measuring 5.5 x 2.9 cm.

IMPRESSION: Large intraarticular effusion of the suprapatellar as well as small medial and lateral patella plica

Complex tear involving the posterior horn in the lateral meniscus.

Intrameniscal degeneration and possible peripheral tear involving the posterior horn of the medial meniscus.

Significant anterior cruciate ligament tear.

Diffuse chondral loss involving the lateral compartment and medial patellar articulation facet.

Significant marrow contusion proximal tibia with smaller peripheral contusions of the medial {blackout on copy} fermoral condyles.

Popliteal cyst.

Offline The1Voices

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Re: MRI results
« Reply #1 on: April 04, 2005, 12:30:56 AM »
i guess the knee guru's can't answer my question.

Offline mhsflute07

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Re: MRI results
« Reply #2 on: April 04, 2005, 02:51:00 AM »
I'm not a doctor and have not had an MRI yet, but it sounds like you have an ACL tear and meniscus tears and a popliteal cyst. Somebody correct me if I'm wrong.

Good luck!
~Erin~
June 2, 2005 TTT/LR  R.
July 26, 2005 TTT/LR  L.
June 6, 2006 Microfracture R.
June 5, 2007 Microfracture & Screw Removal R.
March 12, 2009 Scope and ACI Biopsy R.
May 12, 2009 TTT, Trochleoplasty R.
December 15, 2009 ACI (patella) & bilateral hardware removal
December 21, 2010 LOA and LR

Offline JenSinclair

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Re: MRI results
« Reply #3 on: April 04, 2005, 03:25:19 AM »
The only thing I would add to that is a deep bruise.  But again...I am not a doctor, and I don't even play one on TV.  Did your OS not review the films or report with you?
Jen
LR/TTT 3 August 2006, RK
LR/TTT 16 June 2005, LK
CPMs are evil.

Offline ProfLiebstrom

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Re: MRI results
« Reply #4 on: April 04, 2005, 04:15:48 AM »
Ok from what i've learnt (which is a fair bit considering I want to do radiography then medicine at uni)

No fracture.

Swelling (Edema) of the tibia which seems to indicate a bone bruise (Contusion)

Excessive joint fluid (Effusion)

You have several plicas which are basically what remains from when your knee was developing. The knee develops in diffrent compartments and the plica are what seperated them. In some people they go in others they stay.

Complex tear of posterior (back) horn of the  lateral (Outside) meniscus. Complex to my understanding either means a tear that is in the part not supplied by blood or a tear that isnt just a straight tear it has like a few tears coming off the one.

Possible tear of medial (inside) meniscus

ACL tear and possible rupture where the ACL goes in to the femur.

MCL & LCL are fine

Patellar and quadriceps tendons are fine

Popliteal cyst which is also known as a bakers cyst. Which  is in the back of your knee and is filled with the fluid inside your knee.

And I think that there has been some wearing away of the articular cartilage on the end of the bone on the 2 little "bumps" of the bone which are the condyles. Also some wearing away on the back of the patella on the medial (inside) side. The articular cartilage is the smooth stuff that makes it easier for  the bones to move over one another on the ends of them. If you ever have chicken from KFC on the end of one of the drumsticks sometimes it is still on. It is the white shiny stuff.

Happen to twist your knee when you hurt it by any chance?

And from all the things it is more than likely that you are going to need surgery to fix it.

Anymore specific questions please ask!

Offline three_screws

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Re: MRI results
« Reply #5 on: April 04, 2005, 05:19:03 AM »
Hey, i think it's best that you go and see a good knee specialist as none of us on here are doctors (excluding knee guru :) ), sometimes MRI's can give the wrong impression. An MRI that i had said i had an osteochondral defect on the femoral condyles is related to the articular cartilage and it wearing down, this sounds bad but the actual problem was quite minor and easily fixed. Your MRI report does mention the femoral condyles which depending on the strength of the signal found can indicate anything from a bruise to some errosion of the cartilage etc. I had a tear of the posterior horn of my lateral meniscus, and this caused a cyst to develop as the fluid cannot drain away sufficiently. I don't know if yours is the same but they could be related. This problem meant i had pain when twisting and down the outside side of my knee as the purpose of the meniscus is to add cushioning.This website has a dictionary which will fill you in on alot of the terms and conditions, it can be found on the main page, however each problem can be quite unique as the severity and angles of tears etc differ in each patient. Hope this is helpful for you, but you really are better off seeing your doctor. If anyone that reads this finds my information to be incorrect please correct it :)
Pip :)
Bilateral Hip Dysplasia
Closed reduction on hip '85'
Salters Osteotomy on hip '87',
Osgood Schlatters 1996,
Several subluxes- right knee, meninscal cyst 1998,
Full patella dislocation left knee/cracked knee cap,
Arthroscopy on knee *2 '02', '04',
Full Hip Recon (PAO) Jan '05'

Offline ProfLiebstrom

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Re: MRI results
« Reply #6 on: April 04, 2005, 09:25:50 AM »
Yeh mensical tears often cause the cysts to develop.

And the MRI report makes the chondral narrowing sound like nothing to worry about. It sounds as if it's just slightly worn away and thinned all over not in one specific spot. So it is probably just due to aging that. (sorry don't know how old you are)


Offline The1Voices

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Re: MRI results
« Reply #7 on: April 14, 2005, 11:45:08 PM »
I'm 21

I hurt it messing around w/ my brother, I tripped over a foot stool, and my brother fell on my leg while it was away from my body and he folded it to the out side.

Wearing down of my knee is probably from playing football all my life, I’ve had that since I was 17.
« Last Edit: April 15, 2005, 12:10:53 AM by The1Voices »