The medical speak…..

I was on my health insurances website http://www.myihc.com/ and found that they have all of the findings for any imaging, etc that I have had done at an IHC facility. So I found what the doctor dictated about the MRI that was taken on my knee. So, being the geek I am, I am going to post it here with links to the terms I don’t know. This is more of a learning exercise for me than anything else, so here it goes.

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MRI of the right knee without contrast December 30, 2008.

Comparison:

Right knee radiographs from 12/22/2008.

History:

Right medial knee pain since a fall on 12/22/2008.

Technique:

Using a high field magnet, the following sequenceswere obtained: coronal T2 FSE with fat saturation and T1 SE;sagittal PD, T2 FSE with fat saturation, and T1 gradient; axialT2 FSE with fat saturation. No gadolinium contrast agent wasadministered.

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Findings:

There is mild blunting of the free edge of the body of the medial meniscus without evidence of a displaced or significant tear. This is likely degenerative.

There is a normal lateral meniscus without evidence of a tear or central degeneration.

There is an intact anterior cruciate ligament with mildly increased central signal near the tibial insertion, a normal variant.

There is a normal posterior cruciate ligament.

There is a normal fibular collateral ligament. The posterolateral corner, biceps femoris tendon, popliteus tendon, and iliotibial band are unremarkable.

There is increased signal around and intact medial collateral ligament. The semimembranosus tendon, and tendons of the pes anserinus insertion are unremarkable.

The visualized portions of the quadriceps tendon and the patellar tendon are normal. The medial retinaculum appears torn. The lateral retinaculum appears intact. While the patella is anatomically located at this time, there is evidence of a recent talar dislocation with a bone marrow contusion along the medial aspect of the talus and a bone marrow contusion and likely a small indentation fracture without displacement involving the lateral aspect of the lateral femoral condyle anteriorly.

There is a moderate knee effusion. There is a fluid/fluid level within it consistent with hemarthrosis.

There is a grade 2 cartilage lesion involving the lateral facet of patella with thinning and irregularity of less than 50%. There is also cartilage thinning measuring less than 50% involving the weight-bearing surface of the medial femoral condyle that appears focal as seen on coronal series 6 image 8 measuring about 3 x 3 mm in size. Mild grade 1 cartilage signal abnormality consistent with degeneration is present in the lateral femoral tibial compartment.

Impression:

  1. Evidence of a recent right patellar dislocation with a contusion involving the patella and a contusion as well as small indentation fracture without displacement involving the lateral femoral condyle of the right knee. The medial retinaculum of the knee is torn, and this also contributes to inflammation around the medial collateral ligament.
  2. Moderately large effusion with hemarthrosis noted.
  3. Cartilage abnormalities as described consistent with degeneration. There is also subtle blunting of the free edge of the body of the medial meniscus without evidence of a significant tear.

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