Reason: R knee chondromalacia History: R knee pain MENISCI: The medial meniscus appears intact. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: There is moderate degeneration of the articular cartilage of the medial facet of the patella including a near full-thickness cleft. There is focal signal heterogeneity within the articular cartilage along the lateral aspect of the medial femoral condyle likely representing focal degeneration. There is also mild signal heterogeneity within the posterior aspect of the lateral tibial plateau, but this is equivocal. We see no fluid-filled cartilage defect. There is a 1 cm low signal intensity band within the medial tibial plateau which may represent a healed stress fracture that is not currently associated with any bone marrow edema.LIGAMENTS: The cruciate and collateral ligaments appear intact. EXTENSOR MECHANISM: The extensor mechanism appears intact. The Insall Salvati ratio measures approximately 1.3-1.4 suggesting patella alta. There is edema within the superolateral aspect of Hoffa's fat pad which can be seen in patellofemoral instability.ADDITIONAL
Cartilage degeneration most pronounced along the medial facet of the patella with other findings as described above.