Reason: evaluate for meniscal tear, ligament tear, etc. Had a fall about 6 weeks ago with subsequent persistent swelling History: right knee pain MENISCI: There is complex, multidirectional tearing of the medial meniscus involving the body and posterior horn, with a prominently oblique component, which contacts the superior and inferior articular surfaces, and has progressed from the prior study in 2013. Additionally, there is a complex, multidirectional tear of the lateral meniscus with lateral extrusion and redundancy of the fragmented meniscus into the posterior intercondylar notch. There is a posterior lateral parameniscal cyst. Overall, the tearing is likely degenerative, and has progressed from the prior study.ARTICULAR CARTILAGE AND BONE: Again seen is severe tricompartmental osteoarthritis including near total chondral loss in the weightbearing aspects of the joint, particularly in the lateral tibiofemoral compartment, slightly progressed from the prior study in 2013. There is diffuse grade 3 chondral loss in the patellofemoral compartment. There are exuberant tricompartmental osteophytes.LIGAMENTS: The cruciate and collateral ligaments are intact. The posterior corner structures appear to be intact. EXTENSOR MECHANISM: The extensor mechanism is intact.ADDITIONAL
1.Complex, multidirectional degenerative type tearing/maceration of the medial and lateral menisci, which has progressed from the prior study in 2013.2.Tricompartmental osteoarthritis with exuberant osteophyte formation and multifocal complete chondral loss.3.Moderate joint effusion.