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Author Topic: NEED HELP UNDERSTANDING MY MRI REPORT  (Read 1553 times)

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Offline BUMKNEE79

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NEED HELP UNDERSTANDING MY MRI REPORT
« on: June 28, 2013, 06:50:38 PM »
Can anyone help me interpret my MRI report?  Even with looking up the terms, I am not completely clear on what it is saying.  I have posted it below.


*RADIOLOGY REPORT*

Clinical Data:  Anterior knee pain with swelling and popping since
falling 1 month ago.  No previous relevant surgery.

MRI OF THE RIGHT KNEE WITHOUT CONTRAST

Technique:  Multiplanar, multisequence MR imaging of the right knee
was performed.  No intravenous contrast was administered.

FINDINGS:
MENISCI
Medial:  Intact.
Lateral:  Intact.

LIGAMENTS
Cruciates:  Intact. There is mild ACL mucoid degeneration.
Collaterals:  Intact.

CARTILAGE
Patellofemoral:  Moderate surface irregularity at the patellar apex.
Medial:  Moderate surface irregularity along the posterior aspect of
the medial femoral condyle.  No subchondrial signal abnormality.
Lateral: Preserved.

Bones:  No significant extra-articular osseous findings.
Joint:  Significant knee joint effusion.  No evidence of Bakerís cyst.

Extensor Mechanism:  Grade II sprain of the proximal patellar tendon. 
There is significant surrounding soft tissue edema.
Popliteal Fossa:  No Bakerís cyst or other significant findings.

IMPRESSION:

1.  There is moderate patellar and medial femoral chondromalacia.
2.  Moderate surface irregularity at the patellar apex and along the
posterior aspect of the medial femoral condyle.                       
3.  Grade II partial tear of the patellar tendon with moderate edema in
the surrounding soft tissue.  Most likely due to trauma in this area.
4.  Mild ACL mucoid degeneration. Likely not related to injury.
5.  Menisci and ligaments intact.    

Offline JessJess28

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Re: NEED HELP UNDERSTANDING MY MRI REPORT
« Reply #1 on: June 28, 2013, 08:10:48 PM »
There aren't really any medical professionals on here so not sure how many answers you will get. When do you see your DR/OS again?

I would look up chondromalacia and grade II patella tendon tear. Not sure about the other things though. Maybe someone else will know. Hopefully you can get some answers from a Dr soon. Are you having pain now? I would take it easy for now just in case.
History of Dislocations
12/08 Scope
3/2013 TTO, Lateral Release, Medial Reefing, Grade III Patella lesion.
11/2013 TTO L knee, LR, Medial Reefing, R knee screw removal

Offline BUMKNEE79

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Re: NEED HELP UNDERSTANDING MY MRI REPORT
« Reply #2 on: June 28, 2013, 09:09:30 PM »
Couldn't get an appt until 07/08/13, maybe because of the upcoming holiday idk.  I can walk on it but can't put full pressure on it, cannot fully extend or bend my knee, and it hurts like h*ll.

Offline Vickster

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Re: NEED HELP UNDERSTANDING MY MRI REPORT
« Reply #3 on: June 28, 2013, 11:15:07 PM »
Did you have an injury?

From what I understand:

1.  There is moderate patellar and medial femoral chondromalacia.- chondromalacia is softening of the articular cartilage (slippery stuff on the bones) - patella = kneecap; medial femoral condyle is the knobbly bit on the bottom of your thigh bone, medial is inside of the knee
2.  Moderate surface irregularity at the patellar apex and along the
posterior aspect of the medial femoral condyle. - this basically says the same as point 1)                     
3.  Grade II partial tear of the patellar tendon with moderate edema in
the surrounding soft tissue.  Most likely due to trauma in this area. - you have a partial tear of the patella tendon, with swelling around - due to trauma - I expect this is the cause of the pain and lack of flexion and extension
4.  Mild ACL mucoid degeneration. Likely not related to injury. - some degeneration of your anterior cruciate ligament - are you very sporty?  how old are you?
5.  Menisci and ligaments intact.    - the shock absorbers (menisci) between the bones and the other ligaments are all ok

Are you a) resting and b) icing the knee - these will help it recover.  Are you doing physiotherapy or exercises?

Sounds like the knee should get better in time - nothing is broken or completely torn- but injured knees can take months and months to heal

Good luck - a week to see the Dr isn't too bad.  In the meantime, best to rest and ice (no more than 15 minutes and always wrap the ice pack in a cloth)

There's a really good information hub on here with loads of stuff about knee anatomy to help with the terms and different types of injuries and issues.  Have a read :)   http://www.kneeguru.co.uk/KNEEnotes/
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up