Reason: Right knee patellofemoral pain no improvement with PT, NSAIDS or injection evaluate for chondral injury vs meniscus tear History: right knee pain MENISCI: The lateral meniscus appears intact. There is minimal heterogeneity of the undersurface of the posterior horn of the medial meniscus which may reflect minimal undersurface fraying. No fluid-filled or unstable tear is evidentARTICULAR CARTILAGE AND BONE: There is focal partial-thickness articular cartilage degeneration along the weightbearing surface of the medial femoral condyle, centrally, with a tiny focus of degenerative subchondral signal abnormality. There is subjective thinning of the lateral tibiofemoral articular cartilage. There is full-thickness articular cartilage degeneration along the lateral facet of the patella with focal full-thickness articular cartilage defects and delamination. There is underlying degenerative subchondral signal abnormality. There is a full-thickness articular cartilage cleft along the medial facet of the patella.LIGAMENTS: The cruciate and collateral ligaments appear intact. EXTENSOR MECHANISM: The extensor mechanism appears intact.ADDITIONAL
Osteoarthritis of the knee most pronounced along the patellofemoral articulation with full thickness articular cartilage defects and delamination as described above. Superficial fraying of the medial meniscus. No fluid-filled or unstable meniscal tear is evident. Other findings as described.