Female 57 years old; Reason: Question of meniscal injury. History: Knee pain s/p fall MENISCI: There is increased signal within the inner fibers of the lateral meniscus extending to the free edge/undersurface of the meniscus suggestive of degenerative fraying/tearing which may not be of any current clinical significance. No fluid-filled defect or other abnormality is seen to suggest an unstable meniscal tear.ARTICULAR CARTILAGE AND BONE: There is moderate to severe loss of the articular cartilage along the patella, particularly at the medial facet where there are areas devoid of cartilage. Focal near-full-thickness to full-thickness cartilage defects are also seen along the inferior aspect of the medial and lateral trochlear facets with associated underlying bone marrow reactive changes. There is focal degeneration of the articular cartilage of the lateral tibial plateau, beneath the free edge of the posterior horn of the lateral meniscus. The articular cartilage of the medial compartment appears normal for the patient's age. We see no fracture. LIGAMENTS: No significant abnormality noted. EXTENSOR MECHANISM: No significant abnormality noted.ADDITIONAL
1. Findings compatible with hematomas in the anterior subcutaneous fat of the knee.2. Cartilage degeneration as described above.3. Possible degenerative tearing/fraying at the inner edge of the body of the lateral meniscus, which may not be of any current clinical significance. No fluid-filled defect or other abnormality is seen to suggest an unstable meniscal tear.