Reason: Right knee pain, no improvement with conservative treatment, no improvement with NSAIDs, x-rays taken at Midwest bone and joint were negative, evaluate for lateral meniscal tear versus chondral injury. MENISCI: The medial meniscus demonstrates abnormal signal within the posterior horn without distinct horizontal component extending to the inferior articular surface (image 12 series 501). A more globular signal is observed in the central body and the anterior aspect is unremarkable other than mild fraying of the inner edge. Lateral meniscus is unremarkable and intact.ARTICULAR CARTILAGE AND BONE: Diffuse mild thinning of the cartilage with mild heterogeneous signal greater in the medial compartment and along the femoral condylar surface. Similar changes are also observed under the patella most pronounced along the lateral facet with mild shallow defects underlying immediate marrow changes are also observed with suspected contusion in the lateral femoral condyleLIGAMENTS: No significant abnormality noted, specifically the ACL appears intact. EXTENSOR MECHANISM: No significant abnormality noted.ADDITIONAL
Medial meniscal tear as described with associated large parameniscal cyst extending posteriorly and a small to moderate effusion. See detail providedI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.