Pain one month after fall MENISCI: There is extensive globular and branching signal abnormality throughout the posterior horn of the medial meniscus indicating extensive degeneration and complex tearing which propagates into the body of the medial meniscus as well. There is mild attenuation of the anterior horn of the medial meniscus which may reflect additional attritional tearing. There is horizontally oriented linear signal abnormality within the lateral meniscus which extends to both the tibial and femoral articular surfaces indicating horizontal tearing.ARTICULAR CARTILAGE AND BONE: Severe osteoarthritis affects the knee, particularly affecting the patellofemoral joint, the lateral facets of which are devoid of articular cartilage. There is delamination of the articular cartilage along the weightbearing portion of the medial femoral condyle with additional full thickness degeneration of the articular cartilage along the posterior aspect of the condyle with underlying subchondral cyst formation. There is also focal full-thickness degeneration of the articular cartilage of the lateral femoral condyle just above the posterior horn of the lateral meniscus. There are multiple tricompartmental osteophytes. Aside from the subchondral cyst formation, the bone marrow signal intensity is within normal limits. We see no fracture.LIGAMENTS: The cruciate and collateral ligaments appear intact. EXTENSOR MECHANISM: The extensor mechanism appears intact. There is nonspecific edema along the anterior aspect of the patellar tendon.ADDITIONAL
Severe osteoarthritis of the right knee, particularly affecting the patellofemoral joint, with medial and lateral meniscal tears as well as other findings as described above.