Female 78 years old Reason: Evaluate for cause of knee pain History: knee pain Exam is slightly limited by motion artifact.MENISCI: Complex tearing of the medial and lateral menisci with marked loss of substance of the body of the lateral meniscus.ARTICULAR CARTILAGE AND BONE: There is complete cartilage loss of the medial patellar facet and patellar eminence with a few foci of underlying reactive marrow change. The articular cartilage of the lateral patellar facet is thinned but without full thickness defect. There is fraying and irregularity of the articular cartilage in the femoral trochlea without evidence of full-thickness cartilage defect.There is marked loss of cartilage in the medial and lateral compartments with areas of full-thickness loss in both compartments and associated marrow edema. There are tricompartmental osteophytes. LIGAMENTS: The cruciate and collateral ligaments are intact. EXTENSOR MECHANISM: The extensor mechanism is intact.ADDITIONAL
1.Severe degeneration and complex tearing of the medial and lateral menisci.2.Marked cartilage loss and osteoarthritic changes in all 3 compartments.