65-year-old female with pain, evaluate for meniscal tear MENISCI: There is globular signal abnormality within the body and posterior horn of the medial meniscus extending to the tibial articular surface, suggesting degeneration with possible undersurface tearing. A subcentimeter focus of signal abnormality adjacent to the superior margin of the posterior horn of the medial meniscus, extending towards the meniscal root may represent a small bucket handle tear. The anterior and posterior horns of the lateral meniscus are intact. ARTICULAR CARTILAGE AND BONE: There is mild thinning of articular cartilage of the medial and lateral tibiofemoral compartments without full thickness defect. There heterogeneity of the cartilage along the undersurface of the patella. There a 1 cm focal cartilaginous defect along the trochlea with underlying reactive marrow signal abnormality.LIGAMENTS: The cruciate and collateral ligaments are intact.EXTENSOR MECHANISM: The quadriceps and patella tendons are intact.ADDITIONAL
1. Mucoid degeneration of the body and posterior horn of the medial meniscus with possible small bucket-handle tear with flipped fragment extending towards the meniscal root.2. Osteoarthritic changes as detailed above.