Pain and swelling 1 month after injury. MENISCI: No significant abnormality noted. Specifically menisci are well visualized, intact and anchored posteriorlyARTICULAR CARTILAGE AND BONE: No abnormal marrow signal, however mild osteoarthritic changes are observed. Small osteophytes and minimal narrowing. Cartilage is preserved throughout the medial and lateral compartments however moderate thinning of the patellofemoral surface with mild irregularity without focal cartilaginous defect, however small underlying small cysts are observed under the medial facet.LIGAMENTS: ACL and PCL are intact. Anterior extensor complex, LCL and patella are also unremarkable. The MCL however demonstrates minimal surrounding fluid and although intact in uniform throughout its entirety, a mild sprain is observed. Minimal waviness of the medial patellar retinaculum is observed, this may represent an old injury, however please correlate with physical exam for patellar stability.EXTENSOR MECHANISM: As aboveADDITIONAL
1. Questionable mild MCL sprain2. Mild degenerative changes involving the patella with retinacular minimal irregularity concerning for prior and likely remote dislocation, correlate with history.3. Moderate Baker's cystI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.