49 year-old female, evaluate for chondral injury versus meniscal tear MENISCI: The medial and lateral menisci are intact.ARTICULAR CARTILAGE AND BONE: There are no fluid-filled articular cartilage defects. The articular cartilage appears normal particularly considering the patient's age.LIGAMENTS: The cruciate and collateral ligaments are intact.EXTENSOR MECHANISM: The quadriceps and patella tendons are intact.ADDITIONAL
1. Round and ovoid foci of low signal intensity within the joint as described above which morphologically appear to represent multiple loose bodies, although no calcified loose bodies are seen on recent radiographs. While PVNS is another consideration, the appearance would be atypical. If further imaging evaluation is clinically warranted, contrast-enhanced MRI may be considered.2. Thickening of the medial patella plica.3. Intact menisci and articular cartilage.