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Author Topic: Please help with MRI results.  (Read 816 times)

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Offline andybug

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Please help with MRI results.
« on: February 13, 2015, 07:05:07 PM »
What does this mean? My PD nurse couldn't answer any of my questions, they referred me to a specialist. Menisci: No surface tear identified.   

Cruciate ligaments: Intact.

Collateral ligaments: Intact.

Extensor mechanism: Intact.

Joint: No joint effusion or loose body. An ovoid cystic collection is
present near the root to the anterior horn lateral meniscus measuring up to
9 mm.

Marrow: Normal.

Articular cartilage: 
Medial compartment: No focal defect identified.
Lateral compartment: No focal defect identified.
Patellofemoral compartment: Small area of osteochondral deformity involving
the superolateral aspect of the patella, seen on series 6 image 43 and
series 7 image 12, characterized by a small wedge-shaped deformity at the
osteochondral junction. There is no overlying articular cartilage
abnormality and this most likely represents a normal anatomic variant.

Offline TheEbae

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Re: Please help with MRI results.
« Reply #1 on: February 19, 2015, 03:39:55 PM »
MRI results can be so confusing and are not always accurate. My MRI (they believe that I have plica syndrome and who knows what else) noted a lesion on my popliteus and a small joint effusion. They initially thought that I had a torn meniscus, although none of the clinical tests came back positive (other than for the pain). I am having surgery on Tuesday (exploratory and plica excision), so I will be very curious to hear what/if else they find while in there. Not much help, I know, but keep your head up and remember that the MRI is not always the full story! My OS doesn't rely on them too much, as he believes that the patient's symptoms and descriptions say a lot more than a scan does.

Good luck!!

EBae
~The EBae~

11-12-14 MCL sprain
12-08-14 Plica Syndrome diagnosis
2-24-15 Plica and scar tissue removal surgery
4-20-15 Patellar Tendonitis onset

Offline vickster

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Re: Please help with MRI results.
« Reply #2 on: February 19, 2015, 03:45:22 PM »
They are a diagnostic tool along with examination.  Mine have generally been pretty consistent with arthroscopy where I've had both done, although they seem poor at determining the degree of articular cartilage damage.  My knees seem to end up worse than it appeared, but then there's usually been a few months of gap between scan and surgery (I always try conservative measures first to avoid surgery and having bits removed!)

It's also very dependent on the skill and pedantry of the radiologist reading the scans and writing the report!

To the OP, it sounds like you have some minor deformity to the shiny cartilage on the back of the knee cap and possibly a tear in the meniscus cartilage as suggested by the presence of a cyst.  Everything else seems to be ok.  What's the history behind the scan being done?
« Last Edit: February 19, 2015, 03:47:45 PM by Vickster »
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