Knee pain. Due to the patient's large body habitus, a knee coil could not be used. An alternative coil was used instead, resulting in suboptimal image quality.MENISCI: Mild intrasubstance signal intensity within both menisci suggests degeneration, but I see no discrete tear.ARTICULAR CARTILAGE AND BONE: There is mild to moderate thinning of the articular cartilage of the lateral facet of the patella, with a near-full-thickness cartilage cleft noted in the median eminence. There is mild thinning of the articular cartilage of the medial facet of the femoral trochlea as well as focal near-full-thickness to full-thickness degeneration of the articular cartilage along the lateral facet. Small patellofemoral subchondral cysts are also noted. There is focal near-full-thickness to full-thickness cartilage degeneration along the weightbearing portion of the medial femoral condyle. There is also a small full-thickness cartilage defect along the weightbearing portion of the lateral femoral condyle. There are small tricompartmental osteophytesLIGAMENTS: Anterior cruciate ligament appears slightly thickened, suggesting mucoid degeneration. The posterior cruciate ligament appears normal. The medial collateral ligament and lateral collateral ligament complex appear normal. EXTENSOR MECHANISM: The extensor mechanism is intact. There is edema of the subcutaneous fat anterior to the patellar tendon extending along the lateral retinaculum that is nonspecific. ADDITIONAL
1.Tricompartment osteoarthritis.2.Mild edema of the subcutaneous fat anterior to the patellar tendon extending along the lateral retinaculum is nonspecific.3.Findings suggestive of an intra-articular lipoma anteriorly with extension into the patellofemoral articulation.4.Mucoid degeneration of the anterior cruciate ligament.