Impression
IMPRESSION: MILDLY COMPLEX TEARING MEDIAL MENISCUS SEEN IN THE SETTING OF MILD MEDIAL COMPARTMENT KNEE DEGENERATIVE CHANGE AND CARTILAGE LOSS AS ABOVE. SIGNAL ABNORMALITY AT THE LATERAL MENISCUS MAY BE RELATED TO CPPD AS SEEN ON PRIOR PLAIN RADIOGRAPHS. MINIMAL LATERAL COMPARTMENT DEGENERATIVE CHANGE AND CARTILAGE LOSS. MILD LATERAL PATELLAR TILT WITH ADVANCED PATELLOFEMORAL DEGENERATIVE CHANGE DEMONSTRATING CARTILAGE LOSS, SUBCHONDRAL MARROW SIGNAL CHANGE, AND OSTEOPHYTE FORMATION AS ABOVE. MODERATE TO LARGE KNEE JOINT EFFUSION. Electronically Signed by: John Crudup on 12/19/2025 10:34 AM
Narrative
MRI LEFT KNEE WITHOUT IV CONTRAST: PROCEDURE: Multiple MRI sequences of the knee without IV contrast. COMPARISON: 12/1/2025. FINDINGS: Moderate complex but predominantly horizontally oriented signal abnormality seen at the posterior body of the medial meniscus also with slight blunting of the posterior horn with signal abnormality contacting the articular surface most compatible with tearing. Signal normality extends to the posterior root insertion. Anterior root insertion appears intact. Horizontally signal abnormality at the lateral meniscus is without definitive surfacing/tearing. Anterior and posterior root insertions appear intact. Cruciate and collateral ligaments appear intact. Extensor tendon mechanism and popliteus tendon appear intact. Mild spurring/enthesopathic change at the quadriceps tendon insertion on the patella. Mild lateral patellar tilt. Advanced patellofemoral degenerative change with broad full-thickness cartilage loss seen at the median patellar ridge extending along the majority of the lateral patellar facet and opposing cartilage loss at the deep and lateral trochlear grooves. Subchondral marrow signal changes favored degenerative/reactive. There is also associated osteophyte formation. Mild cartilage thinning and irregularity at the central weightbearing surface of the medial femoral condyle and opposing medial tibial plateau. Minimal cartilage thinning at the lateral compartment without a focal defect. No acute fracture, focal marrow edema, or suspicious focal marrow signal abnormality is otherwise seen. Moderate to large knee joint effusion.