Hello and thanks for reading this. I had an MRI done and the report came back with more than I can digest properly. I did read it in many times and still am getting lost in it. Any help would be great. The doctor is on vacation so I am on limbo until he comes back. Any help with this would be great.
- Status post osteochondral implant repair of the extension surface of the lateral femoral condyle. 0.2 em depression along the anterior border of the graft.
Minimally displaced old fracture site extending superiorly into the metaphysis.
- Small anterior horn of the lateral meniscus either related to resection or
- Degenerative joint disease.
- Chronic partial tear of the anterior cruciate ligament with borderline passive joint line subluxation.
- Interval resolution of the post traumatic changes in the medial compartment.
There has been surgical repair of an osteochondral lesion on the extension surface of the lateral femoral condyle using an osteochondral implant. The donor site is unknown.
There is diffuse moderate chondral thinning over the implant. There is a 0.2 em step off along the anterior border of the implant. Normal reactive marrow changes are seen within the condyle related to this. There is a minimally displaced chronic fracture seen involving the lateral femoral condyle. This extends superiorly from the operative site into the metaphysis.
The anterior horn of the lateral meniscus is small and slightly irregular. This could be consistent with resection or degenerative tear.
There is diffuse moderate patellofemoral chondromalacia involving both facets of the patella.
There may be a small chondral flap on the lateral facet in the midpole region. There is mild chondral thinning seen in the lateral compartment in addition to the more pronounced thinning overlying the plug. The medial compartment is normal. There is mild lateral compartment osteophytosis with less pronounced changes elsewhere.
Moderate grade II degenerative signal is seen in the posterior horn of the medial
The anterior cruciate ligament exhibits abnormal intrasubstance signal and has a wavy configuration. The appearance is consistent with a chronic partial tear. This is a new finding. There is associated borderline passive joint line subluxation with the knee compressed in the knee coil. The posterior cruciate and collateral ligaments are intact.
There is a small joint effusion with an intact joint capsule.
There is soft tissue contusion seen in the subcutaneous fat anteriorly presumably related to recent injury. Peri-articular bone and soft tissues are otherwise unremarkable.