Reason: patellar chondromalacia History: R knee pain Suboptimal evaluation secondary to patient body habitus and inability to use a dedicated knee coil due to the patient's body habitus.MENISCI: Suboptimal evaluation of the menisci secondary to the aforementioned limitations. There is globular increased signal abnormality within the anterior horn of the lateral meniscus indicating intrasubstance degeneration. Some of this signal extends to the tibial articular surface consistent with degenerative tearing/superficial fraying. The posterior horn appears intact. There is undulation of the free edge of the body of the meniscus indicating meniscal flounce.There is superficial fraying of the free edge of the posterior horn of the medial meniscus. No fluid-filled tear is evident.ARTICULAR CARTILAGE AND BONE: There is subjective thinning of the articular cartilage of the medial and lateral compartments. There is full-thickness articular cartilage degeneration along the lateral facet of the patella with underlying degenerative subchondral signal abnormality. The femoral trochlea is shallow, superiorly, indicating a mild femoral trochlear dysplasia. Note is made of a Wiberg type III patella.LIGAMENTS: The cruciate and collateral ligaments appear intact. EXTENSOR MECHANISM: The extensor mechanism appears intact. There is intermediate signal intensity within the distal fibers of the patellar tendon which may indicate a mild tendinosis.ADDITIONAL
Full-thickness articular cartilage degeneration along the lateral facet of the patella with mild femoral trochlear dysplasia and borderline tibial tubercle to trochlear groove distance. Other findings as described above.