MRI OF THE LEFT KNEE:
IMAGING SEQUENCES: Multiple pulsing sequences are performed at three planes with emphasis on T1, proton density, and T2 weighting.
FINDINGS: There are moderate intrameniscal myxoid changes in the medial meniscus. The intrameniscal myxoid changes are more pronounced in the posterior horn. There is no evidence of discrete meniscal tear extending to an articular surface in a linear fashion of either the medial or lateral meniscus. The anterior and posterior cruciate ligaments are intact. There is some edema medial to the MCL consistent with a grade I MCL sprain. There is also some fluid deep to the MCL below the joint line consistent with some TCL bursitis. There is a fairly large broad band of edema in the medial tibial plateau extending to the medial aspect of the lateral tibial plateau compatible with an area of edema, or contusion. There is some subchondral degenerative changes in the femoral condyle. A discrete fracture line is not identified. The lateral collateral ligament appears intact.
The extensor mechanism appears intact. There is chondromalacia patella most pronounced along the lateral facet as well as the lateral aspect of the medial facet near the patellar apex. The chondromalacia patella is most pronounced at the level of the upper pole of the patella. A few small subchondral cysts are seen within the patella. There is a small joint effusion.
GRADE I MCL SPRAIN.
BAND OF EDEMA OR CONTUSION THROUGHOUT THE MEDIAL ASPECT OF THE PROXIMAL TIBIA AS NOTED ABOVE.
MEDIAL COMPARTMENT DEGENERATIVE CHANGES WITH INTRAMENISCAL MYXOID CHANGES WITHIN THE MEDIAL MENISCUS. NO EVIDENCE OF FRANC MENISCAL TEAR.
SMALL JOINT EFFUSION.
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