Reason: L knee pain x3 weeks after skiing History: L knee pain x3 weeks MENISCI: The medial and lateral meniscus appear intact.ARTICULAR CARTILAGE AND BONE: There is degeneration of the articular cartilage of the patella including several focal full-thickness defects with cysts in the underlying bone as well as more diffuse superficial fraying of the articular cartilage. There is relative sparing of the medial and lateral compartment articular cartilage.LIGAMENTS: The ACL and PCL appear intact. There is mild edema along the superficial band of the MCL which may reflect a sprain in the correct clinical context. The LCL appears intact. EXTENSOR MECHANISM: The quadriceps tendon appears slightly thickened which may reflect chronic tendinosis, but we see no full-thickness tear. The patellar tendon appears intact.ADDITIONAL
1. Edema along the vastus lateralis and iliotibial band suggesting a strain injury. The ACL and menisci appear normal.2. Mild edema along the MCL may represent a mild sprain in the correct clinical context.3. Degeneration of the articular cartilage of the patella.4. Chronic quadriceps tendinosis.