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What Does The Knee MRI Report Suggest?
Question: My MRI states in findings of knee small subarticular cysts are noticed in the intercondylar area of proximal tibia and small enchondroma of the intercondylar area of the proximal femur. There are no osteoarthritis changes.
In impression of report says small cartilaginous rest and distal femur are benign Should this be of concern
Or worrisome
In impression of report says small cartilaginous rest and distal femur are benign Should this be of concern
Or worrisome
Brief Answer:
The findings in knee are benign and not a concern
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
Please note that the enchondroma might be in the intercondylar area of distal femur (lower end) and not in proximal femur (upper end) as written in the first sentence of your query. Do correct me if I have got it wrong.
1. Small subarticular cysts in the proximal tibia are not a concern. These are small early degenerative changes occurring in the bone cartilage interface and do not require any attention as it is confirmed to be subarticular cysts.
2. An enchondroma is a benign tumor of cartilage origin and needs to be watched. It is commonly seen in distal femur and not a concern either. Usually it stays benign and does not cause any symptoms. Should the enchondroma in distal femur grow in size and you have pain over the region then it calls for a biopsy followed by resection only if required.
3. A MRI scan of knee contains about 50 to 100 images in DICOM format which are medical standard images to be seen at the workstation. I have the software and workstation setup at my end. You can upload your raw images (all the files in the MRI CD provided by your hospital) to a file sharing facility like Dropbox and send me the download link. That way I can have a detailed look at all images and give a more accurate confirmation.
4. Hope you do not have much pain after the fall.
5. Wish you a quick recovery.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
The findings in knee are benign and not a concern
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
Please note that the enchondroma might be in the intercondylar area of distal femur (lower end) and not in proximal femur (upper end) as written in the first sentence of your query. Do correct me if I have got it wrong.
1. Small subarticular cysts in the proximal tibia are not a concern. These are small early degenerative changes occurring in the bone cartilage interface and do not require any attention as it is confirmed to be subarticular cysts.
2. An enchondroma is a benign tumor of cartilage origin and needs to be watched. It is commonly seen in distal femur and not a concern either. Usually it stays benign and does not cause any symptoms. Should the enchondroma in distal femur grow in size and you have pain over the region then it calls for a biopsy followed by resection only if required.
3. A MRI scan of knee contains about 50 to 100 images in DICOM format which are medical standard images to be seen at the workstation. I have the software and workstation setup at my end. You can upload your raw images (all the files in the MRI CD provided by your hospital) to a file sharing facility like Dropbox and send me the download link. That way I can have a detailed look at all images and give a more accurate confirmation.
4. Hope you do not have much pain after the fall.
5. Wish you a quick recovery.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Prasad
Yes so helpful. I will attach report. Also they MRI my ankle i thought i sent question but in the findings it said slight edema over in wieght bearing area if canula or heal. I walk alot. Not sure if that is insidental finding and also noted small amount of fluid in ankle joint can that be normal with age
Brief Answer:
Please take it easy for 6 weeks to allow complete healing of ankle joint
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. I am unable to locate your attached report.
2. Slight edema or swelling might occur due to the fall and your early locomotion and going on walks. Going on walks is a type of low stress injury and can add on to the injury due to the fall and delay healing.
3. There are many small ligaments in the ankle and foot to keep the bones in place and permit movements. The small amount of fluid might be due to the fall and also the fact that the ankle is not getting sufficient rest due to walking a lot.
4. Such injuries involving soft tissues have occurred in the slightest form in you. To regain their original strength it usually takes 6 weeks. It is suggested that you take it easy for 6 weeks from your injury and after that you can participate in your routine walking and other fitness activities.
5. If pain is disturbing then you can apply pain relief ointments and sprays with muscle relaxants. Applying ice packs for 10 minutes before going on walks will reduce your discomfort.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please take it easy for 6 weeks to allow complete healing of ankle joint
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. I am unable to locate your attached report.
2. Slight edema or swelling might occur due to the fall and your early locomotion and going on walks. Going on walks is a type of low stress injury and can add on to the injury due to the fall and delay healing.
3. There are many small ligaments in the ankle and foot to keep the bones in place and permit movements. The small amount of fluid might be due to the fall and also the fact that the ankle is not getting sufficient rest due to walking a lot.
4. Such injuries involving soft tissues have occurred in the slightest form in you. To regain their original strength it usually takes 6 weeks. It is suggested that you take it easy for 6 weeks from your injury and after that you can participate in your routine walking and other fitness activities.
5. If pain is disturbing then you can apply pain relief ointments and sprays with muscle relaxants. Applying ice packs for 10 minutes before going on walks will reduce your discomfort.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Prasad
Ok i did not fall on this area and dont have pain where they say edema is. So can that mean insidental findings or does it indicate a problem. I didnt know about
Brief Answer:
Its not a concern if there is no pain, discomfort or difficulty in walking
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. In clarification, if you did not injure your ankle and heel then this looks like an incidental finding that might be associated with your walking. These changes can be expected due to mild degenerative changes which is probably linked with your walking a lot.
2. It is not a concern as long you do not experience any pain or discomfort. Please do not worry if you are not having difficulty in walking but you can try reducing your walking speed to reduce the stress on your ankle ligaments and delay progression of degenerative changes.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Its not a concern if there is no pain, discomfort or difficulty in walking
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. In clarification, if you did not injure your ankle and heel then this looks like an incidental finding that might be associated with your walking. These changes can be expected due to mild degenerative changes which is probably linked with your walking a lot.
2. It is not a concern as long you do not experience any pain or discomfort. Please do not worry if you are not having difficulty in walking but you can try reducing your walking speed to reduce the stress on your ankle ligaments and delay progression of degenerative changes.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
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