Reason: Patella Chondromalacia History: Pain, Swelling MENISCI: There is blunting and deformity within the posterior horn of the medial meniscus indicating complex tearing that extends to involve the body of the meniscus. There is also a large radial component which extends near the root of the posterior horn of the meniscus. There is a focus of low signal intensity within the intercondylar notch which may represent a flipped meniscal fragment. The anterior horn appears intact. There is globular increased signal abnormality within the anterior horn of the lateral meniscus indicating intrasubstance degeneration. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: There is a focal near full-thickness to full-thickness articular cartilage defect along the lateral femoral condyle, anteriorly, with underlying subchondral signal abnormality. There is full-thickness articular cartilage degeneration along the lateral facet of the patella and median eminence of the patella with underlying subchondral signal abnormality with large areas completely devoid of cartilage. There are tricompartmental osteophytes.LIGAMENTS: The cruciate and collateral ligaments appear intact. EXTENSOR MECHANISM: The extensor mechanism appears intact. There is minimal intermediate signal intensity within the proximal fibers of the patellar tendon indicating a mild tendinosis.ADDITIONAL
1. Complex tearing and degeneration of the medial meniscus.2. Osteoarthritis of the knee including full-thickness articular cartilage degeneration most pronounced along the patellofemoral and lateral tibiofemoral compartments. Other findings as described above.