Report:
- Medial collateral, lateral collateral, anterior cruciate and posterior cruciate ligaments are intact. Quadriceps tendon/patellar tendon complex is intact.
- Medial meniscus demonstrates mild intrasubstance degeneration. Lateral meniscus is grossly intact.
- There is a small amount of joint fluid within normal limits. A very small Baker’s cyst is noted.
- The patella demonstrates mild focal increased intrasubstance signal in its articular cartilage, most pronounced over the keel and medial facet. Minor patellar marginal osteophytes. Trace focus of reactive subcortical marrow signal change deep in the femoral trochlea. Cartilage in the medial and lateral compartments is grossly unremarkable.
- Grade 1-2 chondromalacia patella.
- Very small Baker’s cyst.
Report:
ReplyDelete1. All of your major cartilage (medial/lateral collateral) and ligaments (ACL, PCL) are good. Damaging this stuff requires surgery and long recovery, so this is great!
2. Your MCL (cartilage) is a bit run down. Not uncommon for runners. Grossly just mean it's clearly seen (can be seen with eye instead of microscope), so this means it's clearly intact/OK.
3. Some inflammation in the knee, but nothing to cause alarm - probably not totally uncommon for runners.
4. Some liquid over knee bone (patella). When bones bump into each other, minor damage occurs and the body tries to repair itself, leaving behind osteophytes. There is a sign some swelling under (subcortical) the top of your big leg bone (femoral -> femur). Nothing special about your cartilage from this view.
Impression:
1. Chondromalacia means you have "sick cartilege" :) Grades are from 1-3, where 3 means you need surgery, 1 means you need to just ice it and it should go away, and 2 means... well, where you are :)
2. Joint fluid in your knee.
So, this is a lengthy way of saying that you have some swelling in places, but the major stuff (ligaments and cartilage) looks fine and does not need repair.