Reason: eval meniscus History: pain Suboptimal evaluation secondary to the inability to use the high-definition coil due to the patient's body habitus.MENISCI: There is ghosting of the inner half of the posterior horn of the medial meniscus that corresponds to a linear defect seen on the coronal and axial images compatible with a partial thickness radial tear. There is also high signal intensity within the inferior fibers of the peripheral half of the posterior horn of the medial meniscus that we suspect represents a horizontally oriented undersurface tear. The anterior horn appears intact. There is blunting of the free edge of the body of the lateral meniscus suggesting fraying and there is perhaps slight lateral extrusion of the body, but we see no discrete tear.ARTICULAR CARTILAGE AND BONE: There is a small full-thickness defect of the articular cartilage of the medial femoral condyle above the posterior horn of the medial meniscus. There is superficial fissuring of the articular cartilage of the patella, centrally, as well as a near full-thickness defect of the articular cartilage of the medial facet of the femoral trochlea. There is near full-thickness fissuring of the articular cartilage of the lateral femoral condyle just above the periphery of the posterior horn of the lateral meniscus. There are small tricompartmental osteophytes.LIGAMENTS: The cruciate and collateral ligaments appear intact. EXTENSOR MECHANISM: The extensor mechanism appears intact.ADDITIONAL
1. Medial meniscal tears and lateral meniscus fraying as described above.2. Osteoarthritis as described above.3. Joint effusion and small Baker's cyst. Other findings as described above.