Knee pain MENISCI: There is complex tearing the medial meniscus involving the body and posterior horn with both horizontal and vertical components. There is increased intrasubstance signal within the lateral meniscus reflecting degeneration but there is no discrete lateral meniscal tear.ARTICULAR CARTILAGE AND BONE: There is moderate to severe degeneration of the articular cartilage of the medial compartment with full-thickness cartilage loss along the medial femoral condyle above the posterior horn of the medial meniscus with small underlying subchondral cysts. There is moderate degeneration of the articular cartilage of the patella particularly along the lateral facet which is also associated with small subchondral cysts. There is relatively mild degeneration of the articular cartilage of the lateral compartment with focal heterogeneity above the posterior horn of the lateral meniscus. There are small tricompartmental osteophytes.LIGAMENTS: The cruciate and collateral ligaments are intact. EXTENSOR MECHANISM: There are prominent enthesophytes arising from the patella at the attachment of both the patellar and quadriceps tendons. There is thickening of the distal quadriceps tendon with associated ossification indicating chronic degenerative tendinosis. ADDITIONAL
Complex tear of the medial meniscus with osteoarthritis and other findings as above.