Right knee pain Due to the patient's body habitus the knee would not fit into the conventional knee coil. A large torso coil was used instead, resulting in suboptimal image quality.MENISCI: Best seen on the coronal image 13 of series 1301 is abnormal signal intensity within the undersurface fibers of the body of the medial meniscus indicating an undersurface tear. Furthermore, there is low signal intensity within the medial gutter adjacent to the inferior aspect of the body of the medial meniscus that we suspect reflects a flipped meniscal fragment. There is additional intrasubstance degeneration within the posterior horn of the medial meniscus. The anterior horn of the medial meniscus appears intact. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: The evaluation of the articular cartilage is limited. Subjectively, there is moderate to severe thinning of the articular cartilage of the weightbearing portion of the medial tibiofemoral compartment. The lateral compartment articular cartilage appears relatively intact. There is a full-thickness cleft extending through the articular cartilage of the median eminence of the patella. Tricompartmental osteophytes are noted.LIGAMENTS: No significant abnormality noted. EXTENSOR MECHANISM: No significant abnormality noted.ADDITIONAL
1. Limited study as described above.2. Medial meniscal tear with probable flipped fragment into the medial gutter.3. Cartilage degeneration most severely affecting the medial compartment.