Lab No.

: 012405140033
Patient Name : Mrs. NARESH Age/Sex : 60 YRS/FEMALE
Referred By : Dr. PARMINDER Reg. Date : 14 May 2024
PHOGAT [CHC
JHAJJAR]

DETAIL M.R.I. OF RIGHT KNEE JOINT

TECHNIQUE:

❖ MR imaging of right knee joint was performed &high resolution PD, PDFS, T1W, PD T2W & T2*GRE with fat
saturation images were obtained in axial, sagittal & coronal planes.

MR STUDY REVEALS:

INTRINSIC LIGAMENTS:

❖ Mucoid degeneration of the anterior cruciate ligament seen.

❖ Mild posterior cruciate ligament sprain seen.

❖ Medial collateral ligament (MCL) & lateral collateral ligament (LCL) are normal.

MENISCI:

❖ Horizontal tear of posterior horn of medial meniscus associated with superior flap displaced medially
between the lateral aspect of medial femoral condyle and posterior cruciate ligament.

❖ Root tear with medial extrusion of medial meniscus seen.

❖ Lateral meniscus shows normal MR morphology & signal intensity.

❖ Visualised tendinous aspect of iliotibial band, biceps femoris tendon, semimembranosus & semitendinosus
appears normal.

OSSEOUS & SOFT TISSUSE ANALYSIS:

❖ Diffuse thinning of articular cartilage with complete loss at few places predominantly in the medial
tibio-femoral joint is seen associated with cortical irregularities, subchondral sclerosis with
significant osteophytes suggestive of degenerative osteoarthritic changes.

❖ Moderate joint effusion.

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 Lab No. : 012405140033
Patient Name : Mrs. NARESH Age/Sex : 60 YRS/FEMALE
Referred By : Dr. PARMINDER Reg. Date : 14 May 2024
PHOGAT [CHC
JHAJJAR]

❖ Insertional tendinopathy of the distal quadriceps tendon and proximal patellar tendon at its insertion
onto patellar seen.

❖ There is diffuse reduction in patello-femoral joint space associated with altered signal intensity with
fraying and fissuring in the patellar articular cartilage suggestive of chondromalacia patella grade
II.

❖ Sprain of medial patello-femoral ligament seen.

❖ Pes anserinus bursitis noted.

 Patella & hoffa’s fat pad are normal.

IMPRESSION: - Findings suggest possibility of:

➢ Mucoid degeneration of the anterior cruciate ligament
➢ Horizontal tear of posterior horn of medial meniscus associated with displaced
superior flap as described.
➢ Root tear with medial extrusion of medial meniscus.
➢ Chondromalacia Patella grade II.
➢ Degenerative osteoarthritic changes as described associated with insertional
tendinopathy of the distal quadriceps and proximal patellar tendon.
➢ Medial patello-femoral ligament sprain.
➢ Mild posterior cruciate ligament sprain.

ADVISED: - Clinical correlation & further investigations.

____________________________________________________________________________________

Dr. A.K. Narula Dr. (Mrs.) Anita Narula Dr. (Mrs.) Isha
M.B.B.S., M.D.,D.M.R.D., F.I.A.M.S. M.B.B.S., M.D. F.I.A.M.S. M.B.B.S., M.D. (Radio-Diagnosis),
(Radio-Diagnosis) (Chief Radiologist) (Chief Pathologist) M.B.A.
Diploma in Musculoskeletal
Imaging (Spain)
Dr. Apoorv Dr. Arjun
M.B.B.S., M.D. (Radio-Diagnosis), M.B.B.S., M.D. (Radio-Diagnosis),
(Gold Medalist), L.L.B. D.N.B.
Diploma in Musculoskeletal Diploma in Musculoskeletal
Imaging (Spain) Imaging (Spain)

Dr. J.Pal Dr. Tashi Dr. Pooja Dr. Deepak Dr. Narender
M.B.B.S., D.M.R.D. M.B.B.S., M.D. (Pathology) M.B.B.S., M.D. M.B.B.S., M.D. (AIIMS) M.B.B.S., M.D. (AIIMS)
(Radio-Diagnosis) (Gold Medalist) (Radio-Diagnosis) (Radio-Diagnosis) (Radio-Diagnosis)
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