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Author Topic: Help understanding MRI written report  (Read 2479 times)

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Offline Hutto5

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Help understanding MRI written report
« on: June 17, 2015, 04:53:01 PM »
I just received my MRI report for my knee. I won't be able to see the doctor till July 14 because he is on vacation. I was wondering if anyone can explain my report and tell me if it's severe or not.

FINDINGS: Postsurgical changes are visualized from prior anterior cruciate ligament reconstruction with susceptibility artifact arising from the tibial and femoral interference screws.

The anterior cruciate ligament graft and posterior cruciate ligaments is intact.



The medial meniscus is diminutive and truncated throughout likely of related to prior injury or debridement.  There are no displaced fragments.  The lateral meniscus is truncated along its free edge in the body with increased signal in the posterior horn which surfaces along the lateral, inferior, and superior margins.

The medial and lateral collateral ligaments are intact.  The quadriceps tendon is normal in signal.  Susceptibility artifact in the proximal and distal patellar tendon are likely related to anterior cruciate ligament graft harvest.



The osseous structures demonstrate normal alignment.  There is degenerative spurring along the medial and lateral joint lines.  There is a 1.5 cm area of full-thickness cartilage loss in the medial femoral condyle with subchondral cystic changes in the femur.  There is cartilage spurring in the lateral knee compartment as well as the patellofemoral compartment without focal cartilage defect.  There is a small suprapatellar joint effusion.

The visualized hamstring and calf muscles and tendons about the knee demonstrate normal signal.  There are no soft tissue masses.

IMPRESSION: 1. Postsurgical changes from prior anterior cruciate ligament reconstruction. The graft is intact. 2. Suspected chronic tear of the medial meniscus and/or postsurgical changes as discussed above. 3. Nondisplaced tear along the free edge and posterior horn of the lateral meniscus. 4. Cartilage loss in the lateral femoral condyle with associated subchondral cystic changes and edema. 5. Joint effusion.

Offline bradyj7

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Re: Help understanding MRI written report
« Reply #1 on: June 17, 2015, 11:07:40 PM »
What age group are you in? Did you tear your ACL ligament recently?

Offline Hutto5

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Re: Help understanding MRI written report
« Reply #2 on: June 18, 2015, 12:48:12 AM »
I am 33. I had my ACL reconstructed back in 2000.

Offline dal_knee

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Re: Help understanding MRI written report
« Reply #3 on: June 18, 2015, 01:21:23 AM »
Hutto,

Looks like the dreaded osteoarthritis in both lateral and medial compartments. There is nothing you can do other than the standard treatments of physical therapy, injections, anti inflammatories.
2007 - partial medial meniscectomy
2010 - full thickness chondral defect & adjacent subchondral edema MFC.   Direct result of stupid partial mensicectomy from 2007.
2014 - Subchondroplasty, chondroplasty, unauthorized 2nd partial medial meniscectomy.
2015 - partial failure of subchondroplasty.

Offline dal_knee

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Re: Help understanding MRI written report
« Reply #4 on: June 18, 2015, 02:41:19 AM »

Sorry I should have mentioned that you should look into PRP and / or stem cell injections as a treatment to help retard progression of the arthritis. Here's an article on PRP benefits for OA below.

http://www.hss.edu/newsroom_prp-treatment-potential-for-knee-osteoarthritis.asp#.VYIe61I8KnM
2007 - partial medial meniscectomy
2010 - full thickness chondral defect & adjacent subchondral edema MFC.   Direct result of stupid partial mensicectomy from 2007.
2014 - Subchondroplasty, chondroplasty, unauthorized 2nd partial medial meniscectomy.
2015 - partial failure of subchondroplasty.

Offline Hutto5

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Re: Help understanding MRI written report
« Reply #5 on: June 20, 2015, 08:03:46 PM »
Thank you for the links. Would you say that my Osteoarthritis is severe? I'm guessing having full thickness cartilage loss is pretty bad, right?

Offline vickster

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Re: Help understanding MRI written report
« Reply #6 on: June 20, 2015, 08:09:11 PM »
Yes, you have age on your side though. There are potential cartilage repair techniques that, depending on your location and healthcare cover, might be available to you. You need to find a surgeon who specialises in these

The fact that you have in both medial and lateral compartments does make this more complicated potentially, as does missing meniscus, again you'd need to discuss possible options.

Presumably you have a reasonable amount of pain. You might find that getting the meniscus tears addressed and any loose bits removed along with injections as suggested can make the knee more comfortable. 

You might find information useful here

http://www.kneeguru.co.uk/KNEEnotes/primers/joint-cartilage-and-arthritis-primer

Good luck :)
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline Hutto5

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Re: Help understanding MRI written report
« Reply #7 on: June 20, 2015, 08:31:00 PM »
Thank you Vickster!

Offline Hutto5

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Re: Help understanding MRI written report
« Reply #8 on: June 20, 2015, 08:32:28 PM »
Last thing...what do people think about running with my current condition? Will I ever be able to run again or should I move on to other things?

Offline vickster

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Re: Help understanding MRI written report
« Reply #9 on: June 20, 2015, 08:38:33 PM »
I wouldn't but take advice from a knee specialist and a physiotherapist, the impact from running might hasten deterioration. Swimming and cycling are generally more knee friendly sporting activities. The damage to and lack of meniscus means that the shock absorption is gone from between the bones. I wou,d expect running would be uncomfortable if the full thickness defect is on the weight bearing surface of the thigh bone
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline Hutto5

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Re: Help understanding MRI written report
« Reply #10 on: June 21, 2015, 03:20:20 PM »
I guess it's safe to say that my career in the Infantry is more than likely over at this point. I just don't think it would be smart to continue such a physical job.