Reason: eval MCL History: pain MENISCI: There is blunting of the free edge of the body and anterior horn as well as blunting of the posterior horn of the medial meniscus indicating degeneration/degenerative tearing. There is superficial fraying/degenerative tearing of the posterior horn of the medial meniscus. There is a longitudinal tear of the body of the lateral meniscus near the free edge of the meniscus (image 9; series 9). There is superficial fraying of the undersurface of the body of the lateral meniscus.ARTICULAR CARTILAGE AND BONE: Note is made of a lobulated lesion within the medial femoral condyle which demonstrates increased signal abnormality on fluid sensitive sequences with sclerotic margins, likely representing an enchondroma. There is full-thickness articular cartilage degeneration along the medial and lateral facet of the patella with large areas completely devoid of articular cartilage. There is subchondral cyst formation in the underlying bone.LIGAMENTS: The cruciate and collateral ligaments appear intact. There is minimal increased signal abnormality along the distal fibers of the superficial band of the MCL which may indicate a mild sprain. There is a trace amount of fluid interposed between the medial femoral condyle and superficial band of the MCL which may reflect a very mild MCL bursitis (image 8; series 9).EXTENSOR MECHANISM: The extensor mechanism appears intact.ADDITIONAL
1. Mild sprain of the MCL.2. Longitudinal tear of the body of the lateral meniscus. Degeneration/degenerative tearing of the medial meniscus.