Reason: Persistent right knee pain - assess for possible cause: chondral defect, meniscal tear, etc History: Persistent right knee pain (medial) and patellofemoral pain Due to the technologist error, axial images were not obtained. We will attempt to have the patient return for additional imaging at which time an addendum will be logged. Furthermore, due to the patient's body habitus, a dedicated knee coil could not be utilized, resulting in suboptimal image quality.MENISCI: There is perhaps mild fraying of the undersurface of the anterior horn of the medial meniscus, but we see no discrete tear. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: There is near full-thickness to full-thickness cartilage loss along the medial facet of the patella, appearing similar to the prior study when accounting for the aforementioned technical differences. Relatively mild cartilage degeneration affects the lateral facet of the patella. There is subchondral cyst formation appearing similar to the prior study, when accounting for differences in technique. There is subchondral cyst formation within the posterior aspect of the medial tibial plateau that appears larger than on the prior study with increased signal intensity within the overlying articular cartilage likely representing focal degeneration. We see no discrete cartilage defects involving the lateral compartment cartilage. There is patchy intermediate signal intensity within the distal femoral metadiaphysis likely representing residual red marrow, unchanged.LIGAMENTS: The cruciate and collateral ligaments appear intact. EXTENSOR MECHANISM: The extensor mechanism appears intact. There is mild intermediate signal intensity within the proximal fibers of the patellar tendon which may represent mild tendinosis, but is of questionable clinical significance.ADDITIONAL
Osteoarthritis particularly affecting the patellofemoral joint and other findings as described above. Due to the technologist error, axial images were not obtained. We will attempt to have the patient return for additional imaging at which time an addendum will be logged. Furthermore, due to the patient's body habitus, the routine knee coil could not be utilized, resulting in suboptimal image quality.