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Author Topic: New here and worried about recent MRI  (Read 1674 times)

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Offline jocisne

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New here and worried about recent MRI
« on: November 19, 2013, 01:00:34 AM »
Hello everyone,

I am new here, have read the boards for awhile now, but I recently had an MRI of my knee that I am really worried about.  Can someone help me decipher my MRI results?  I have researched many of these terms and I am concerned and worried that I need a Total Knee Replacement based on the report.  I am a nervous wreck.   I still have 10 days to wait for my appointment and I am literally making myself ill. 

I had both an X-ray and MRI done of my right knee, which has been bothering me for quite some time. Constant dull achy pain, cracking, popping, and giving out. Also, swelling after I take a short walk around the block and then it takes 2 days of applying ice to get the swelling down. They suspected a medial meniscus tear, but according to the MRI report, that's not the problem. I'm confused because in the X-ray, it states that I have smooth articular surfaces, but in the MRI it states there is full thickness cartilage loss. Can you have both? Based on what the radiologist noted "SIGNIFICANT ABNORMALITY, ATTN NEEDED", I'm thinking that the MRI report is bad. I'm thinking Total Knee Replacement and I'm nervous. My follow-up appt with the surgeon is 10 days away, and I know this forum is not a substitute for talking with the surgeon, however I want to be prepared if this is really bad. Thank you for any responses.

X-RAY REPORT
Impression:
AP and lateral view of the right knee with with sunrise view.
Spur lateral margin of the patella and posterosuperior margin of
the patella
Prominent medial tibial spine.
No meniscal calcifications or free joint bodies. No erosions or
destructive lesions. Smooth articular surfaces.
Mild degenerative change


MRI REPORT
Report:
Exam: MRI right knee without intravenous contrast
Comparison: X-ray performed 9/23/2013.
History: Right knee pain. Giving out. Popping. Physical findings
suggest medial meniscal tear.
Technique: Multiplanar and multisequence MRI of right knee was
performed using the standard department protocol. There was no
use of contrast. The study was performed on a 1.5 T. Siemens MRI.

FINDINGS:
There is no evidence of medial meniscal tear. There is mild
increased signal within medial meniscus, with no extension to
articular surfaces, consistent with degenerative changes.
There is irregularity of inferior and superior articular surface
of posterior horn of lateral meniscus (series 8 and series 9,
image 17, series 6 image 17) suggestive of a small radial or flap
tear.
The anterior cruciate ligament and posterior cruciate ligament
are intact. The medial collateral ligament and lateral collateral
ligament complex are unremarkable. The extensor mechanism is
unremarkable.
There is no joint effusion.
There are osteophytes of medial, lateral and patellofemoral
compartments consistent with degenerative changes. There are
partial thickness and near full thickness cartilage defects along
medial femoral condyle. There are full thickness cartilage defect
along lateral patellar facet with underlying bone marrow edema
and cystic changes. There is no bony fracture. Muscle signal is
unremarkable. There is no Baker's cyst. There is edema anterior
to tibial insertion of patellar tendon.
There is edema and induration within superolateral Hoffa's fat
pad, inferior to patella, which may be associated with a patellar
tracking abnormality.

Impression:
1. No evidence of tear of medial meniscus.
2. Small radial or flap tear of posterior horn of lateral
meniscus.
3. Degenerative changes, with near full thickness cartilage loss
along medial femoral condyle and full thickness cartilage loss
along lateral patellar facet.
4. There is edema within superolateral Hoffa's fat pad, which may
be associated with patellar tracking abnormality.
Primary Diagnostic Code: SIGNIFICANT ABNORMALITY, ATTN NEEDED

Offline greatfulgann

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Re: New here and worried about recent MRI
« Reply #1 on: November 19, 2013, 02:43:26 AM »
Did you have a recent injury?  Have you had a previous dislocation recently or in childhood? Your MRI is strikingly similar to mine.  I will be curious to hear what they tell you.

Offline jocisne

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Re: New here and worried about recent MRI
« Reply #2 on: November 19, 2013, 02:55:00 AM »
No recent injury, but I did injure this knee playing softball for years as a kid (ligament sprains, I was told), and I have pretty much always had some type of pain, but now it's becoming unbearable.  I am now 49.  The worst part is that it keeps me awake at night, and no OTC pain killers help.  I resort to 1/2 a Vicodin when it gets to be too much, but I don't like taking those because they cause me to have disturbing dreams.