^^^^This!!!! Hope everything is on an upward trajectory for all of this week.
My daughter's collge move-in in date is 8/22, we're heading east on 8/19. I've got to help her up to a dorm room on a 3rd floor. There's no elevator. I've been limping around since May 7 when I whacked my knee on a desk corner. I was hoping it would heal on its own, but not so much. Went to the doctor a week ago and X-ray showed bones in good shape - not even any arthritis, but they also sent me for MRI. I received the results via my chart moments ago - which haven't been reviewed by my care team yet. I have no idea what any of this medspeak means, but from the volume of words, it doesn't seem like it is going to feel any more stable when we head to the airport. I am still hoping that maybe I can get some sort of magic cortisone shot that can make it feel better.
Narrative & Impression | |
| Impression:
1. Moderate-to-large joint effusion. Scattered debris. Curvilinear 1.6 cm loose chondral body within the lateral suprapatellar recess.
2. Grade 1 sprain of the MCL, if there has been a recent injury.
3. Suspected tiny undersurface tear of anterior horn lateral meniscus. Please correlate with any lateral joint line symptomatology. Medial meniscus intact.
4. 1.6 x 0.8 cm full-thickness chondral defect of the weight-bearing medial femoral condyle.
5. Patchy high-grade patellar chondromalacia, mild lateral patellar subluxation.
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Clinical Information: Left knee pain. Lateral pain, instability since May 2024. Felt a pop, medial pain also. No surgery. Reportedly, history of Salter-Harris fracture as a child.
Study Technique: Routine multiplanar noncontrast MRI exam of the left knee.
Comparisons: Left knee x-ray, 08/01/2024. No previous MRI available.
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Findings: Patient motion artifact degrades multiple sequences, patient with difficulty tolerating the exam, resulting in limited evaluation. Multiple repetitions.
Within these limitations, moderate-to-large joint effusion. Scattered debris. Curvilinear 1.6 cm chondral loose body seen within the lateral suprapatellar recess, coronal fat-sat image 20, axial image 3.
The ACL, PCL, LCL complex are intact. Intact MCL with overlying edema, suggesting grade 1 sprain if there has been recent injury, otherwise reactive soft tissue edema. Popliteus tendon intact. Extensor mechanism intact.
Limited meniscal evaluation. Lateral meniscus shows suspected tiny 3 mm undersurface tear of the anterior horn, sagittal fat-sat image 9. Otherwise grossly intact.
Medial meniscus shows degeneration, undersurface fraying of posterior horn. No discrete tear grossly.
No acute fracture. Diffuse mild spurring. Small cystic change of the proximal tibia. Laterally, grossly intact articular cartilage.
Large full-thickness chondral defect involving the weight-bearing medial femoral condyle, coronal fat-sat image 15-18, axial image 18. This measures 1.6 cm AP by 0.8 cm TRV.
Patchy high-grade chondromalacia of the patellar apex, lateral facet, with mild lateral patellar subluxation. |