Female 78 years old Reason: Evaluate for cause of knee pain History: knee pain MENISCI: There is marked loss of the posterior horn of the medial meniscus. The anterior and posterior horns of the lateral meniscus are grossly intact.ARTICULAR CARTILAGE AND BONE: There is marked loss of cartilage in the medial and lateral compartments with areas of full-thickness cartilage loss on the posterior lateral femoral condyle. Marked thickness cartilage loss is seen along the medial patellar facet and medium patellar eminence. The cartilage in the femoral trochlea is thinned and irregular with a full-thickness defect along the lateral aspect of the femoral trochlea.There is reactive bone marrow edema in the medial and lateral compartments and there are tricompartmental osteophytes.LIGAMENTS: The cruciate and collateral ligaments are intact. EXTENSOR MECHANISM: The extensor mechanism is intact.ADDITIONAL
1.Degeneration and tearing of the posterior horn of the medial meniscus.2.Marked loss of cartilage and osteoarthritic changes in all 3 compartments.