Left knee pain MENISCI: The medial meniscus is intact. The body and posterior horn of the lateral meniscus are intact. The anterior horn appears unusually enlarged likely the result of a combination of chronic degeneration and distortion due to the underlying prior tibial plateau fracture. Additional blunting and abnormal signal intensity of the anterior horn is thought to represent tearing that is suspected to be chronic in nature.ARTICULAR CARTILAGE AND BONE: There are multiple foci of signal void overlying the proximal tibia representing metallic susceptibility artifact from prior orthopedic intervention. There is deformity of the tibial plateau relating to prior fracture with 4 to 5 mm of depression of the lateral tibial plateau anteriorly. There is heterogeneity of the overlying articular cartilage which likely reflects a combination of degeneration and tearing. There is also focal linear signal abnormality of the articular cartilage of the medial tibial plateau overlying the healed fracture plane, likely representing a chronic cartilage tear. The articular cartilage of the patellofemoral compartment appears subjectively thinned but we see no focal fluid-filled defect.LIGAMENTS: The cruciate and collateral ligaments are intact. EXTENSOR MECHANISM: No significant abnormality noted.ADDITIONAL
1. Mild deformity of the tibial plateau reflecting an old healed fracture. There is depression of the lateral tibial plateau anteriorly and associated heterogeneity of the overlying cartilage which likely reflects a combination of degeneration and chronic tearing.2. Deformity of the anterior horn of the lateral meniscus overlying the tibial plateau likely reflecting a combination of degeneration and chronic tearing. 3. Other findings as described above.