Knee pain Note the examination is limited by large size of the patient's knee.MENISCI: There is intrasubstance degeneration of the lateral meniscus without discrete tear. There is maceration of the body and posterior horn of the medial meniscus.ARTICULAR CARTILAGE AND BONE: There is severe full-thickness cartilage loss of the medial compartment with bone-on-bone apposition of the tibial plateau and femoral condyle. Tricompartmental osteophytes are noted. There is severe cartilage loss of the patellofemoral compartment and lateral compartments as well.LIGAMENTS: No significant abnormality noted. EXTENSOR MECHANISM: No significant abnormality noted.ADDITIONAL
1. Limited exam secondary to body habitus patient motion. Within the limits of the exam, there is no evidence of osteomyelitis or septic arthritis.2. Diffuse increased signal within the muscles of the calf which are nonspecific in nature but could relate to myositis or diabetic myopathy.3. Additional findings of the knee are described above.