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Need Help Understanding Mri Results Of Right Knee

I need help understanding my MRI results for my knee?

I hurt my knee at the gym and its been hurting a lot over the past couple of months. My doc says i have IT band syndrome, chondromalacia patella and tendonitis....my pain was still the same after amonth or two of PT and my doctor ordered an MRI...i got the results...it seems okay but i dont really understand the medical terminology, Can someone who understands medical terminology help me out here?

"Findings:
Ligaments and tendons: the ACL is normal. The posterior cruciate ligament is intact. The medial collateral ligament is unremarkable
Extensor Mechanism: the quadriceps and patellar tendons are in tact. There is no evidence of patellar tilting or patellar subluxation
Osteoarticular Structures: there is no significant bone marrow edema. The hyaline cartilages are unremarkable. There is no evidence of avascular necrosis or osteochondritis dissecans

Soft Tissues: there is a physiologic amount of fluid within the knee joint. There is no evidence of a bakers cyst.

I understand most of it...but when it says "in tact" does that mean that its normal? When it says unremarkable, does that mean "good" Also, when it says the Posterior cruciate ligament is intact does that mean its normal? It also says that my medial collateral ligament is unremarkable...what is that supposed to mean

it also mentions something about physiologic amount of fluid...what does that mean?

Any help would be appreciated

Help understanding my right knee MRI scan?

Your patella has three paired surfaces (facets; upper, middle and lower pairs of medial and lateral facets) on its back side for sliding against (articulating with) the lower end of the femur. The words like medial and inferior are directions for describing which areas are being discussed.

1. The radiologist identifies the site of your graft (medial and lateral lower facets), and notes that the grafted cartilage is somewhat thicker (hypertrophic) than where your original (native) cartilage remains.

2. The original cartilage is swollen (oedematous), and cracked (fissured) at the upper and middle portions of the patellar facets.

3. I think the radiologist is referring to the notch in the femur where the patella tracks as the trochlea. So, there is a torn open surface (ulcer) and more cracks (fissures) on the cartilage of the upper part of the trochlea. There is mild swelling of this area (oedema), and (I think) swelling of the knee (joint effusion).

If I understand correctly, the damaged area of the trochlea is the area that the damaged middle and top facets of the patella would slide against when the knee is flexed (bent, as opposed to extended).

I might guess that your knee feels OK when it is straight, but it hurts to bend as the damaged surfaces of cartilage on the knee cap and femur rub against each other?

HTH.

Help with understanding knee MRI results?

Basically you have severe osteoarthritis in the right knee. You probably also have a degenerative tear in your lateral meniscus.
If I was your surgeon I would do an arthroscopy with a partial meniscectomy of the lateral meniscus. The arthroscopy would also allow me to further assess the extent of the osteoarthritis.
Doing the meniscectomy will make the arthritis degenerate further. So a knee replacement may be on the cards, but you might be able to avoid it for a few years as your only symptoms at the moment seem to be from the meniscal tear.
Knee replacements currently have a lifespan of about 10-15 years, so it is best to hold off for as long as possible.
All the best.

Can you help me understand my knee MRI scan report?

What is not talked about in this report is the patello-femoral joint. You could have a problem there and that would give you the clicking in the knee. The medication given was most likely an anti-inflammatory and that would make it feel better. I would suggest that you use ice on the knee for fifteen to twenty minutes per hour if possible. Learn these exercises and see if they make any improvement in the condition. If they make things worse then stop the movements and see an orthopedist that specializes in knees. The first movement is easy. Assume a long sitting position and place a towel roll under the involved knee. Using the muscles of the leg push down on the towel. Hold that for a few seconds and relax. Do that movement as many times a day as you want as it will strengthen the leg. Once you have mastered the movement it can also be done standing. Next get a large can of tomato juice or other product that is in a large can as you can find. Place a towel over the can and then again in the long sitting position place the involved knee on the can. Using a one or two pound ankle weigh across the foot slowly raise the lower leg until it is out straight. Hold that end position for a second or two and slowly lower it to the floor. Do that fifteen times. Rest and repeat the cycle twice more. To make that more effective place the index finger on the muscle just above and to the side of the kneecap on the inside of the knee. Feel the muscle there contracting. That is a biofeedback movement and it will help to control the kneecap. Lastly get a 2x4 or large book of about the same size. Stand on the board or book with the involved leg. The foot should run the same direction as the book or board. Slowly straighten the knee and this will cause the opposite leg to come off the floor. Do this ten to fifteen times. Again this is going to strengthen a very specific portion of the knee muscles and that again will help to control the problem. Good luck and I hope that helps.

Knee MRI - Need Help Interpreting Please!?

To abanusmani - I am 31 years old, 5'1" and weigh around 116. I have had two previous surgeries, the first an internal fixation of my tibial spine for a tibial spine fracture and the second one was 4 years later and that was an ACL graft using my hamstring and some meniscus tear repairs and general cleaning up. I have since found out I have undifferentiated connective tissue disease and am having more trouble with my knee such as hyper-extension, swelling, instability, sometimes it feels like my kneecap is hitting my leg bone, and a lot of stiffness and deep pain. I can't run or exercise or pretty much do anything but limp around. I am seeing anorthopedicc doctor (he is the one who ordered the MRI) but my followup isn't until April and I just want to know the situation. He told me with my connective tissue disease that he doesn't think another ACL repair will go well and I would end up needing another surgery in a couple of years. So he wanted the MRI to determine

MRI report...please help understand?

Mild interspace narrowing with decreased signal intensity is confirmed at L3-L4, L4-L5, L5-S1, consistent with disk degeneration and dehydration. A small focus of increased signal intensity is confirmed in the peripheral anulus of L5-S1, consistent with RADIAL TEAR

No disk herniation or canal stenosis is suggested at the throacolumbar junction at L1-L2

L2-L3 a small bulge of the anulus is demonstrated with flattening of the thecal sac contour. Superimposed upon the bulge is a small left paracentral disk herniation which mildly distorts the thecal sac focally. No canal stenosis or foraminal encroachment is apparent, however. The facet joint appears intact

L3-L4 a small bulge of the anulus mildly distorts the thecal sac. No focal disk herniation or canal stenosis is demonstrated. No foraminal encroachment is apparent. Facet joint appears intact

L4-L5 a small to moderate bulge flattens the thecal sac contour. Superimposed on the bulge is a small central disk protrusion. No canal stenosis is evident. Mild bilateral foraminal extension of the bulge is without foraminal encroachment. The facet joint appears intact.

L5-S1 a small to moderate bulge is demonstrated which abuts the thecal sac. The bulge is somewhat more prominent to the left side with a mild left foraminal encroachment resulting. No significant right foraminal encroachment is suggested. No canal stenosis is confirmed. The facet joint is unremarkable.

The conus is normal in postion with intake size, contour, and signal intensity. No crowding of the nerve roots of cuada equina is suggested.

No paraspinal mass is discerned

I feel pain in my left knee and I can’t bend it. In my MRI investigation, mucoid degeneration of ACL was observed. What is the treatment?

It might be a bit too late. But I was also having pain in the knee. The orthopedic surgeon recommended surgery. But at the time I had no health insurance and could not afford it. Luckily I happened to run into my chiropractor who told me I should see him for an adjustment. Why, I asked. He said my right knee was obviously swelled (I was wearing shorts).Anyway, for $50.00 vice $10,000.00, my DC adjusted my hip to align my legs. Within an hour or so, the pain and swelling went way.But I digress. In your case, you may require cortisone shot and possible surgery.

Do I really need a surgery of my knee? MRI report is showing :- non visualization of femoral attachment of ACL with signal alteration in the body of anterior cruciate ligament near the femoral attachment with associated mild buckling of pcl

I got injured on 14th feb, 2018,but did MRI on 05th April, 2019 - because always felt like knee instablity when I try to walk and when I twist my leg to right side, always feel like knee giving out.So, Please somebody help me.My MRI report is showing :-Non visualization of femoral attachment of anterior cruciate ligament with signal alteration in the body of anterior cruciate ligament near the femoral attachment with associated mild buckling of posterior cruciate ligament-( Likely complete thickness tear.)Grade-ll signal changes is seen in posterior horn of medial meniscus.Mild joint effusion is seen with retro supra-patollar extension.The apposing femoral & tibial condyles reveal normal contour & marrow signal intensity.The lateral meniscus is normal.The posterior cruciate ligament is otherwise normal.The medial & lateral collateral ligaments are normal.The patella, quadriceps and patellar tendons are normal.The pes anserine tendons are normalThe visualized muscles are normal( Can I be 100% fine without surgery? ) and what exactly the issue I have. Please urgently help.Any Ayurveda or yoga treatment?

How often are mri results wrong?

An MRI- report could be wrong. -Someone (the radiologist) is interpreting the results of a scan. And although radiologists are well trained - mistakes can be made in diagnostics.

Your orthopeadic doctor specializes in bone and tendons. He is also an expert. He may look at other futures of the image. It is more likely that he misinterprets the type of MR-image -but it is also more likely that his general orthopeadic knowledge will guide him in diagnostics.

It is not common for an MRI report to give the wrong results. The radiologist and orth-doctor should consult each other and come to an agreement. -You can't make the decision yourself based on what you think the doctors knowledge/experience is- it' impossible! -talk to both of them-and tell them to talk to each other!

Please help me in decipher the language in my mri on my left knee. Corticated areas with ossification? Yikes!?

Please help me with deciphering the language in this mri. Focal 5x5mm high grade partial thickness chondral loss posterior weightbearing lateral femoral condyle. Obliquely oriented chondral fissure suggesting chondral flap of the central WB lateral tibial plateau? oh, with moderate joint effusion with synovitis and debris. Im should worry huh lol?

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