Seven months status post microfracture of the patella and cochlea. Check for healing. Specifically observed cartilage and check for meniscal tear. Pain Persistent and recurrent overall quality degradation due to metallic susceptibility artifact from orthopedic hardware and prior tibial osteotomy.MENISCI: The lateral meniscus is intact and unremarkable. The medial meniscus demonstrates a somewhat diminished anterior horn, possibly due to postsurgical reshaping, however I do loss or surgical removal of the body of the medial meniscus extending into the posterior horn is essentially similar to prior exam.ARTICULAR CARTILAGE AND BONE: Interval continued degradation and loss of the cartilage in the medial compartment with increased thinning and focal defects most prominent in the posterior aspects along both the tibial and condylar surfaces. The lateral compartment is otherwise intact with more moderate changes in the patellar surface greater involving the medial facet. Other than minimal edema-like contusions largely involving the medial condyles, no additional gross marrow signal abnormalities again within the limitations describedLIGAMENTS: ACL repair remains intact. The PCL, patellar and extensor complex are otherwise unchanged and intact. Collateral ligaments are also unremarkable EXTENSOR MECHANISM: No significant abnormality noted.ADDITIONAL
Postsurgical changes including ACL repair and medial meniscal abnormalities with extensive medial cartilaginous losses; see detail provided