Knee MR

00668144
Imaging protocol : Axial fat suppressed FSE PDWI
                            Coronal PDWI & Fat suppressed FSE T2WI
                            Sagittal PDWI & Fat suppressed FSE T2WI
                            Oblique coronal FSE T2WI       

1. Tear of posterior horn of medial meniscus, left.

2. Chondromalacia of medial femoral condyle, medial tibial plateu (diffuse, IV), patella and
trochlea (focal, low grade).
3. Subchondral edema in medial patellar facet.
4. Septate ganglion in deep popliteal area (2.7cm in length).
5. Small effusion in knee joint.
Non enhanced left knee MRI.
Machine : 3.0T Simens Skyra
Imaging protocol : Axial fat suppressed TSE PDWI
                            Coronal TSE PDWI & Fat suppressed TSE T2WI
                            Sagittal TSE PDWI & Fat suppressed TSE T2WI
                            Oblique coronal T2WI       

1. Tear of medial meniscus (body to posterior horn) with medial meniscal extrusion.
2. Chondromalacia of medial femoral condyle, medial tibial plateu (diffuse, IV), patella and
trochlea (multifocal, low grade)
3. Diffuse degeneration of ACL and interstitial degeneration or tear of PCL.
4. Pes anserine(Pes anserinus (literally "goose's foot") is the anatomic name given to the
conjoined tendons at the medial aspect of the knee that insert onto the anteromedial aspect of
the tibia. Its name comes from the webbed-foot appearance of the tendons insertion onto the
tibia.) bursitis and popliteus ganglion.
5. Small effusion in suprapatellar bursa and knee joint.
6. Degenerative change of the knee.
21176218
Clinical Information : w/u for NHL metastasis

Imaging protocol : Axial T1WI, T2WI & fat suppressed FSE T2WI
                          Coronal T2WI & Fat suppressed FSE T2WI
                          Sagittal FSE T2WI
                          Axial, sagittal and coronal fat suppressed T2WI with fat
suppression

Findings :

1. Axial T1WI and coronal T2WI show multiple irregular transverse low signal
intensity fracture line in left distal femur and proximal tibia.
2. Coronal and sagittal fat suppressed T2WI show diffuse high signal intensity
marrow hyperemia in left distal femur and proximal tibia.
3. After IV contrast administration, heterogenous and strong enhancement of left
distal femur and proximal tibia is noted.
4. No abnormal finding is noted in medial and lateral meniscus.
5. No abnormal signal change is noted in ACL, PCL, medial and lateral collateral
ligament.
6. No abnormal signal changes in popliteus muscle and tendon.
7. Quadriceps tendon and patellar tendon show no significant signal or morphologic
changes.
8. No abnormal fluid signal intensity is noted in knee joint space.

CONCLUSION
Multifocal occult fracture and bone marrow edema in left distal femur and proximal
tibia
 -> R/O Oncogenic osteomalacia
Clinical Information : None

Imaging protocol : Axial fat suppressed FSE PDWI

                          Coronal PD & Fat suppressed FSE T2WI
                          Sagittal PD & Fat suppressed FSE T2WI
                          Oblique coronal fat suppressed PDWI

Findings :

1. Longitudinal horizontal grade 3 high signal intensity on PD and fat saturated

T2WI in posterior horn of medial meniscus is noted.
2. Large meniscus (meniscal body size is 19 mm in cross section) with loss of
normal semilunar shape filling lateral compartment on sagittal and coronal images
are noted.
3. Sagittal and coronal fat suppressed T2WI show fusiform enlargement of
hypointense anterior cruciate ligament and increased signal intensity.
4. Trochlear groove of distal femur shows partial thickness cartilage defect.
5. Medial condyle of distal femur and tibial plateau shows partial thickness cartilage
defect without subchondral reactive marrow edema.
6. Right distal femur and proximal tibia show marginal bony spurs with subchondral
sclerosis.
7. About 3cm sized cystic structure in posterolateral aspect adjacent to tibiofibular
joint is noted.
8. No abnormal signal change is noted in PCL, medial and lateral collateral
ligament.
9. No abnormal signal changes in popliteus muscle and tendon.
10. Quadriceps tendon and patellar tendon show no significant signal or
morphologic changes.
11. Moderate amount fluid signal intensity is noted in suprapatellar bursal space.

CONCLUSION
1. Longitudinal horizontal tear of right medial meniscus posterior horn
2. Right lateral discoid meniscus (complete type)
3. Mucoid degeneration of right ACL
    R/O Partial tear of right ACL
4. Chondromalacia in trochlear groove, medial femoral condyle and tibial plateau
5. Periarticular ganlgionic cyst
6. Degenerative change of right knee joint
7. Moderate amount suprapatellar bursal fluid
Non enhanced left knee MRI.

Imaging protocol : Axial fat suppressed FSE PDWI

                               Coronal PDWI & Fat suppressed FSE T2WI
                               Sagittal PDWI & Fat suppressed FSE T2WI
                               Oblique coronal FSE T2WI

1. Peripheral high signal intensity line is noted throughout medial

meniscus.
2. Partial thickness cartilage defect is noted in patella.
3. Tiny thin dark rim lined fluid signal intensity lesion with patch bone
marrow edema in patella.
4. Small extent of patch bone marrow edema is noted in trochlea.
5. Scanty amount of fluid collection is noted in knee joint.
6. No abnormal signal change is noted in ACL, PCL, medial and lateral
collateral ligament.
CONCLUSION
1. Peripheral grade 2 degeneration of medial meniscus.
2. Low grade chondromalacia of patella.
3. Non specific small extent of subchondral edema in patella and
trochlea.
Non enhanced left knee MRI.
Machine : 3.0T Simens Skyra
Imaging protocol : Axial fat suppressed TSE PDWI
                            Coronal TSE PDWI & Fat suppressed TSE T2WI
                            Sagittal TSE PDWI & Fat suppressed TSE T2WI
                            Oblique coronal T2WI

1. Abnoramlly decreased size and increased signal intensity are noted in posterior
root of medial meniscus.
2. Diffuse full thickness cartilage thinning is noted in medial facet of patella, medial
femoral condyle and medial tibial plateu.
3. Irregular cartilage thinning is noted in trochlea.
4. Diffusely increased signal intensity and slight swelling are noted in anterior
cruciate ligament.
5. Interstitial hyperintense lines are noted in distal posterior cruciate ligament.
6. Small amount of fluid signal intensity collection and synovial hypertrophy are
noted in suprapatellar bursa.
7. Marginal spur formation is noted in the knee.

CONCLUSION
1. Posterior root tear of medial meniscus.
2. High ghondromalacia of patella, trochlea, medial femoral condyle, patella,
trochlea.
3. Diffuse degeneration and interstitial tear of ACL and interstitial tear of distal PCL.
4. Intraarticular retrocrucial ganglion.
5. Small effusion and synovitis of suprapatellar bursa.
Non enhanced left knee MRI.
Machine : 3.0T Simens Skyra
Imaging protocol : Axial fat suppressed TSE PDWI
                            Coronal TSE PDWI & Fat suppressed TSE T2WI
                            Sagittal TSE PDWI & Fat suppressed TSE T2WI
                            Oblique coronal T2WI      

1. Posterior root of medial meniscus is not visible.

2. Horizontal hyperintense line is noted body to posterior horn of medial
meniscus.
3. Convex outward fluid signal intensity lesion is noted in anterior horn
of lateral meniscus.
4. Multiseptate and lobulate fluid signal intensity lesion is noted beteen
distal ACL and anterior horn of lateral meniscus.
5. Diffuse interstitial hyperintensity is noted in anterior cruciate ligament.
6. Deep to the distal ACL insertion site, septate cystic bony change is
noted in proximal tibia.
7. Irregular full thickness cartilage defect is noted in trochlea.
8. Scanty amount of fluid signal intensity collection is noted in
suprapatellar bursa and knee joint space.
CONCLUSION
1. Tear of medial meniscus (horizontal tear/body to posterior horn,
radial tear/posterior root).
2. Tear, mediscal and parameniscal cyst in anterior horn of lateral
meniscus.
3. Diffuse interstitial tear of ACL and subcortical tibial cystic change
deep to the distal ACL insertion.
4. High grade chondromalacia of trochlea.
Non enhanced left knee MRI.
Machine : 3.0T Simens Skyra
Imaging protocol : Axial fat suppressed TSE PDWI
                            Coronal TSE PDWI & Fat suppressed TSE T2WI
                            Sagittal TSE PDWI & Fat suppressed TSE T2WI
                            Oblique coronal T2WI      

1. Lateral meniscus shows decreased volume in the posterior portion,

abnormally increased volume in the anterior and medial aspect.
2. Multifocal irregular partial thickness cartilage thinning is noted in the
patella, trochlea, bilateral femoral condyles, bilateral tibial plateu
3. No abnormal signal change is noted in ACL, PCL, medial and lateral
collateral ligament.
4. Small amount of fluid signal intensity collection and synovial
hypertrophy are noted in suprapatellar bursa.
5. Lobulate localized fluid signal intensity soft tissue lesion is noted
between medial head of gastrocnemius tendon and semimembranous
tendon.
6. Periarticular lobulate fluid signal intensity lesion is noted in posterior
proximal leg adjacent to the popliteus tendon.
7. Fluid signal reticulations are noted in subcutaneous fatty layer
around the knee.
CONCLUSION
1. Anteromedially displaced tear of lateral meniscus.
2. Multifocal chondromalacia of patella, trochlea, bilateral femoral
condyles, bilateral tibial plateu
3. Small effusion and synovitis of suprapatellar bursa.
4. Baker's cyst and popliteus ganglion.
5. Superficial soft tissue edema of the knee.