44-year-old female with pain. Evaluate medial meniscus. Suboptimal examination secondary to inability to use a dedicated knee coil due to the patient's body habitus. A flex coil was utilized for this examination.MENISCI: There is deformity and increased signal abnormality which extends to the femoral and tibial articular surfaces within the anterior horn of the lateral meniscus consistent with a complex tear which extends to involve the body of the meniscus. The posterior horn of the lateral meniscus appears intact. There is globular increased signal abnormality within the posterior horn of the medial meniscus which does not extend to either articular surface, consistent with intrasubstance degeneration. The medial meniscus appears intact.ARTICULAR CARTILAGE AND BONE: There is focal near full-thickness articular cartilage degeneration along the weightbearing portion of the medial femoral condyle. There is thinning of the articular cartilage along the weightbearing portion of the lateral femoral condyle. The articular cartilage of the patellofemoral compartment is relatively spared. There is medial and lateral compartment osteophyte formation.LIGAMENTS: There is minimal increased signal abnormality within the ACL which appears intact. The PCL appears intact. The collateral ligaments appear intact. EXTENSOR MECHANISM: The extensor mechanism appears intact.ADDITIONAL
1. Tearing of the lateral meniscus as described above. 2. Degenerative osteoarthritic changes including near full-thickness articular cartilage degeneration as described above. 3. Small joint effusion.