61-year-old female with severe pain and swelling on Humira. History of RA. Assess for synovitis. MENISCI: There is increased signal abnormality and blunting of the posterior horn of the medial meniscus which extends to the tibial articular surface consistent with degeneration/tearing which extends to the body of the meniscus. The anterior horn appears intact. There is linear increased signal abnormality which traverses a blunted anterior horn of the lateral meniscus extending to the tibial and femoral articular surface consistent with degenerative tearing.ARTICULAR CARTILAGE AND BONE: There is subjective thinning of the articular cartilage of the lateral tibiofemoral compartment. There is subchondral signal abnormality within the lateral tibial plateau and lateral femoral condyle, likely degenerative in etiology.There is full-thickness articular cartilage degeneration along the weightbearing surface of the medial femoral condyle. There is subchondral signal abnormality within the medial femoral condyle and medial tibial plateau, likely degenerative in etiologyThere is a partial-thickness articular cartilage cleft along the lateral facet of the patella. There is near full articular cartilage degeneration along the medial facet of the patella and medial facet of the femoral trochlea with underlying subchondral signal abnormality, likely degenerative in etiology.LIGAMENTS: The cruciate and collateral ligaments appear intact. EXTENSOR MECHANISM: The extensor mechanism appears intact.ADDITIONAL
Findings consistent with synovitis with a moderate sized joint effusion. Degeneration/tearing of the medial and lateral meniscus as described above. Full-thickness articular cartilage degeneration as described above.