Here is the "narrative" portion of my
MRI report, not sure if your advice would change any thanks.
FINDINGS
the patellofermoral joint space is normally aligned and patellar position is normal. No structural abnormality or
dysplasia. There is mild joint space narrowing but there are no osteophytes present. There is thinning of
cartilage identified along the medial patellar facet and the mdian ridge of the patella. There appears to be loss of up to 25 % of cartilage thickness in these areas. Also, ther is some localizing thinning of cartilage in the upper portion of the trochlear groove involving an area measuring roughly 1 x 1 cm. There is a loss of up to 25 % cartilage thickness in this area as well. The subchrondral
bone marrow is normal on both sides of the patellofemoral joint. There is no cystic change or bone endema. The extensor mechanism and patellar retinacula are intact.
The ACL shows chronic proximal partial tearing and attenuation near the femoral attachment. There is a loss of up to 50 % of ligament thickness in the area. There is no acute
injury however and multiple fibers do remain intact. The PCL is normal.
Evaluation of the
medial meniscus reveals truncation of the inner edge of the body and posterior horn strongly suggestive of a prior partial meniscectomy. Assuming that this indeed is the correct history, there is no evidence of ret-ear. No displaced fragment. The medial compartment is narrowed and there is a high-grade thinning of the cartilage along weight bearing surfaces in some areas. There is a small areas of subchondral bone edema in the most medial aspect of the tibial plateau. The MCL is intact.
The lateral meniscus is intact. The lateral compartment is slightly narrowed. There is an area of high-grade cartilage thinning along the posterior horn of the weight-bearing surface fo the lateral femoral condyle. It measures about 1.5 x 1.5 cm. Most of the cartilage thickness in this area is absent. There are few tiny subchondral erosions in the adjacent bone marrow. Otherwise, the lateral compartment is essentially normal.