NAME OF PATIENT : RAJENDIRAN PRASANTH

NRIC / PASSPORT : G2702752R SEX/AGE : M / 26

REFERRING DOCTOR : DR HAMID RAHMATULLAH BIN ABD RAZAK
DATE OF EXAM : 31.08.2021 EXAM NUMBER : U-ID1049229
CNO REF. : 145739 LOCATION : Royal Square

HISTORY: Right knee subjective feeling of instability after a fall.

MRI RIGHT KNEE

TECHNIQUE:

Axial T2W, sagittal PD, T2W FS, T2W de3d, coronal T1W and PD FS images were acquired.

No prior study was available for review.

FINDINGS:

BONES:

No discrete fracture or destructive osseous lesion is evident. Alignment of the patellofemoral,

tibiofemoral and proximal tibiofibular joints is maintained. No marginal osteophytes are seen in
the tibiofemoral and patellofemoral joints.

CRUCIATE AND COLLATERAL LIGAMENTS:

The anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) are intact
demonstrating normal signal with no discrete tear evident. The proximal femoral and distal tibial
attachments are intact.

The medial collateral ligament (MCL) and lateral collateral ligament (LCL) are preserved with
normal signal and intact attachments. No discrete tear is demonstrated.

MENISCUS:

There is complex tear in the posterior horn of the medial meniscus associated with longitudinal
tear with peripheral vertical orientation of the body of the medial meniscus.

No discrete tear is seen in the lateral meniscus. The anterior and posterior root attachments of
the medial and lateral menisci are intact. The medial meniscofemoral and meniscotibial
ligaments are intact. The posterior fascicles of lateral meniscus are also intact.

CARTILAGE:

Evaluation of articular cartilage over the patellofemoral and tibiofemoral compartments reveals
the cartilage to be maintained.

No discrete cartilage defect or subchondral marrow oedema. No suggestion of subchondral

fracture or osteochondral loose body is evident.

POSTEROMEDIAL:

The pes anserinus tendons are normal in signal. There is no pes anserinus bursitis. No
Baker's cyst is evident. The posterior oblique ligament and semimembranosus tendon are
intact.

POSTEROLATERAL:

The popliteus tendon and popliteofibular ligament are preserved. The biceps femoris tendon
and iliotibial band are intact.

EXTENSOR MECHANISM:

The extensor mechanism is preserved. The quadriceps and patellar tendons are intact and
normal in signal. There is no oedema in Hoffa's fat pad to suggest impingement. No
pre-patellar or infra-patellar bursitis is present. No lateral patellar tilt or subluxation is noted. No
patella alta or femoral trochlear dysplasia is seen.

OTHER FINDINGS:

There is minimal joint effusion with no significant synovitis.

IMPRESSION:

1. There is complex tear in the posterior horn of the medial meniscus associated with
longitudinal tear with peripheral vertical orientation of the body of the medial meniscus.
2. No discrete tear is seen in the lateral meniscus.
3. The ACL, PCL, MCL and LCL are intact with no discrete tear or significant sprain.
4. No discrete cartilage defect or subchondral marrow oedema is evident.
5. No discrete fracture or destructive osseous lesion is evident.
RADIOLOGIST: Dr. LAU Chin Wah
[MBBS, FRCR]
DATE: 31.08.2021
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