57-year-old female with history of primary osteoarthritis involving multiple joints, evaluate osteoarthritis Right hip:Tiny osteophytes suggesting mild osteoarthritis.Left hip:Tiny osteophytes suggesting mild osteoarthritis. Rounded calcifications in the pelvis suggest uterine fibroids.Right knee:There is moderate osteoarthritis particularly affecting the patellofemoral joint. Tricompartmental osteophytes noted. An ossicle posterior to the medial aspect of the distal femur probably represents a loose body within the joint. There are small foci of gas within the joint which presumably reflect recent intervention, although we cannot exclude the possibility of septic arthritis.Left knee:Mild osteoarthritis affects the left knee with tiny osteophytes and a subchondral cyst in the patella. There is an approximately 4 cm rounded soft tissue opacity overlying the posterolateral aspect of the knee that may represent a cutaneous or subcutaneous mass. This can be further evaluated with MRI if clinically warranted.
1. Osteoarthritis of both knees and both hips as described above.2. Small foci of gas density in the right knee joint presumably reflect recent intervention, please note if there has not been recent intervention septic arthritis should be considered. 3. Posterolateral knee mass as described above which can be further evaluated with MRI if clinically indicated.