Reason: eval for gastroc tear vs meniscal tear History: knee pain for months with hyperflexion, clicking not better with therapy MENISCI: There is branching intermediate signal intensity within the peripheral third of the posterior horn of the medial meniscus extending into the root. Although we suspect that much of this represents normal vascularity, the signal does extend to the tibial articular surface, suggesting a small incomplete longitudinal undersurface tear of the vascularized periphery. Please note that this could represent a healed tear, and is not necessarily of any current clinical significance. The body and anterior horn of the medial meniscus appear normal. The lateral meniscus appears normal. ARTICULAR CARTILAGE AND BONE: The articular cartilage of the knee appears intact. There is no bone marrow edema.LIGAMENTS: The cruciate and collateral ligaments are intact. EXTENSOR MECHANISM: The patellar and quadriceps tendons are intact.ADDITIONAL
Findings suggestive of a short incomplete undersurface tear of the peripheral third of the posterior horn of the medial meniscus. Again, please note that this could represent a healed tear and is not necessarily of any current clinical significance. We otherwise see no findings to account for the patient’s pain. Specifically, we see no muscle tear. 