Right knee pain status post knee arthroscopy and microfracture. MENISCI: Fraying of the inner edge of both menisci is observed with mild loss of the apex of the posterior horn of the lateral meniscus. As abnormalities may be partially exaggerated due to artifact from the overlying osseous cartilaginous abnormality. Both menisci are properly anchored posteriorlyARTICULAR CARTILAGE AND BONE: Diffuse scattered cartilaginous changes representing progressing diffuse and focal abnormalities. The discrete focal lesion involving thearticular cartilage of the lateral femoral condyle anteriorly now demonstrates a more discrete defect with underlying bone changes and small cysts. This lesion measures 8 mm approximately. There is less pronounced abnormal signal in the articular cartilage of the medial femoral condyle which also may represent a partial-thickness defect and progressing changes in the undersurface of the patella and trochlea, specifically involving the medial aspects. Mild to moderate osteoarthritic changes are otherwise observedLIGAMENTS: Cruciate and collateral ligaments are intact. EXTENSOR MECHANISM: Extensor mechanism is intact.ADDITIONAL
Progressing degenerative changes and or post operative changes. Previously observed cartilaginous lesions, most pronounced in the lateral compartment along with an underlying change of the posterior horn of the lateral meniscus, see details provided.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.