Medial joint pain MENISCI: There is a small branching focus of increased signal intensity arising from the posterior third of the medial meniscus which may extend to the tibial articular surface; however this is equivocal and only seen on a single slice. This may represent a small undersurface tear within the vascularized portion of the meniscus or alternatively represent a small vessel. The remaining medial meniscus is intact.There is slight blunting of the posterior horn of the lateral meniscus which is suspected to reflect post meniscectomy changes although could represent attritional tearing if the patient only underwent meniscal repair. A small vertically oriented focus of signal intensity is seen within the periphery of the posterior horn which extends to the femoral articular surface. This could represent the area of prior meniscal repair and we see no fluid signal intensity to entering the meniscus to suggest an unstable tear. Additional small foci of increased signal are noted within the body of the lateral meniscus which may represent suture from prior repair but again we see no fluid signal entering the meniscus to suggest unstable tear.ARTICULAR CARTILAGE AND BONE: No significant abnormality noted.LIGAMENTS: No significant abnormality noted. EXTENSOR MECHANISM: There is mild subcutaneous edema along the medial aspect of the patella which is nonspecific.ADDITIONAL
1. Mild edema along the medial aspect of the patella which is nonspecific in nature.2. Mild abnormal signal intensity within the peripheral fibers of the medial meniscus is favored to represent vascularity as opposed to a true small tear. There are no findings to suggest an unstable tear.3. Lateral meniscal abnormalities further detailed above are favored to reflect surgical changes as opposed to true meniscal tearing.