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There is a complex tear involving the posterior horn of the medial meniscus including dominant radial component near the root. There is peripheral extrusion of the body. The lateral meniscus is intact. Normal anterior and posterior cruciates.
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High-grade chondromalacia of the central weightbearing medial femoral condyle and medial tibial plateau with full-thickness cartilage loss. Lateral compartment is intact. High-grade chondromalacia with full-thickness chondral loss in the femoral trochlea and lower patella.
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There is a small joint effusion with mild reactive synovitis related to osteoarthritis. There is a 6 x 10 mm body along the posterior aspect medial femoral condyle. There is a 10 x 4 mm body along the medial aspect of the joint.
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There is evidence of extensive femoral head avascular necrosis, with likely acute on chronic changes including partial superior weight-bearing aspect subchondral collapse, reactive moderate-sized joint effusion and synovitis.
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No femoral neck or intratrochanteric fracture. Chronic appearing loss of the normal femoral head neck offset which may produce femoroacetabular impingement. There is fraying of the anterior labrum.
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There is a complex tear of the anterior horn and body of the lateral meniscus. Medial meniscus is intact. There is mild mucoid degeneration of the ACL. The PCL is intact. There is evidence of chronic sprain of the MCL.
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Mild chondromalacia without full thickness defect in the tibiofemoral joints. Moderate chondromalacia in the patellofemoral joint. Normal proximal tibiofibular joint. Moderate-sized joint effusion with mild reactive synovitis.
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Mild-to-moderate osteoarthritic changes of the second and third TMT joints with subchondral marrow edema. Intact Lisfranc ligament. Moderate first MTP joint osteoarthritis, with marrow edema. Normal flexor and extensor tendons.
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Stable intramuscular mass within the triceps measuring approximately 1.6 x 2.2 x 3.7 cm, similar compared to December 2023. It contains thin septations with 2 to 3 mm nodular component at the medial aspect although also unchanged.
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There is a stable T2 hyperintense lesion within the lateral aspect of the right hepatic lobe measuring approximately 3.3 cm. This likely represents a hemangioma. In addition there is a subcentimeter cyst within the hepatic dome also stable.
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There is a full-thickness partial width tear of the mid supraspinatus footprint measuring roughly 6 mm anterior-posterior with 13 mm of retraction. Mild-to-moderate supraspinatus and infraspinatus tendinopathy. Subscapularis and teres minor are intact.
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Mild osteoarthritis of the acromioclavicular joint. Type II acromion is noted. Degenerative signal and morphology in the anterior through anterosuperior segments of the labroligamentous complex. Intracapsular tendinopathy of the long head of the biceps tendon, otherwise intact.
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Normal medial and lateral menisci. Normal anterior and posterior cruciates. Normal medial collateral and posterolateral ligamentous structures. Normal extensor mechanism. Redemonstrated focal subcentimeter subchondral fracture involving the weightbearing aspect of the medial femoral condyle measuring 6 to 7 mm.
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There is overlying chondromalacia. Overall appearance appears similar compared to December 2023. No unstable osteochondral fragment. Lateral compartment is unremarkable. There is high-grade chondromalacia in the lateral patella with subchondral cyst formation, not significantly progressed since prior.
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Massive full-thickness rotator cuff tear involving the subscapularis, supraspinatus and infraspinatus, retracted to the level of the glenoid. Teres minor remains intact. Synovial thickening in the subacromial/subdeltoid bursa. Fluid communication with the glenohumeral joint through the massive rotator cuff tear.
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There is a nondisplaced intra-articular fracture of the distal radius extending into the lunate facet. Mild osteoarthritic changes of the distal radioulnar joint greater than radiocarpal and first CMC joints among others. Scattered tiny interosseous ganglion cysts in the carpus.
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Complex tear of the posterior body to posterior horn with dominant undersurface horizontal component. Lateral meniscus is intact. Normal anterior and posterior cruciates. Thickening of the proximal MCL, possible sprain. Periligamentous edema.
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Mild chondromalacia involving the posterior nonweightbearing medial femoral condyle. Lateral compartment unremarkable. Normal patellofemoral joint. Normal proximal tibiofibular joint. There is physiologic joint fluid without synovitis.
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There is bone marrow edema most pronounced involving the sacral aspect of the right SI joint. This may indicate evidence of sacroiliitis. No ankylosis or other significant erosions. Partially imaged hip joints are normal.
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Left Hip Joint: There is evidence of extensive femoral head avascular necrosis, with likely acute on chronic changes including partial superior weight-bearing aspect subchondral collapse, reactive moderate-sized joint effusion and synovitis.
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Overall moderate osteoarthritic changes although there are areas of full-thickness cartilage loss involving the weightbearing aspects of the joint. No femoral neck or intratrochanteric fracture. Chronic appearing loss of the normal femoral head neck offset which may produce femoroacetabular impingement.
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There is a complex tear of the anterior horn and body of the lateral meniscus. Medial meniscus is intact. There is mild mucoid degeneration of the ACL. The PCL is intact. There is evidence of chronic sprain of the MCL. LCL complex intact.
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Mild chondromalacia without full thickness defect in the tibiofemoral joints. Moderate chondromalacia in the patellofemoral joint. Normal proximal tibiofibular joint. Moderate-sized joint effusion with mild reactive synovitis. No evidence of loose body.
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Mild-to-moderate osteoarthritic changes of the second and third TMT joints with subchondral marrow edema. Intact Lisfranc ligament. Moderate first MTP joint osteoarthritis, with marrow edema. Normal flexor and extensor tendons. Normal plantar fascia.
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Stable intramuscular mass within the triceps measuring approximately 1.6 x 2.2 x 3.7 cm, similar compared to December 2023. It contains thin septations with 2 to 3 mm nodular component at the medial aspect although also unchanged. No perilesional edema within the adjacent musculature or overlying soft tissues.
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There is a stable T2 hyperintense lesion within the lateral aspect of the right hepatic lobe measuring approximately 3.3 cm. This likely represents a hemangioma. In addition there is a subcentimeter cyst within the hepatic dome also stable.
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There is a full-thickness partial width tear of the mid supraspinatus footprint measuring roughly 6 mm anterior-posterior with 13 mm of retraction. Mild-to-moderate supraspinatus and infraspinatus tendinopathy. Subscapularis and teres minor are intact.
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Mild osteoarthritis of the acromioclavicular joint. Type II acromion is noted. Degenerative signal and morphology in the anterior through anterosuperior segments of the labroligamentous complex. Intracapsular tendinopathy of the long head of the biceps tendon, otherwise intact.
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Normal medial and lateral menisci. Normal anterior and posterior cruciates. Normal medial collateral and posterolateral ligamentous structures. Normal extensor mechanism. Redemonstrated focal subcentimeter subchondral fracture involving the weightbearing aspect of the medial femoral condyle measuring 6 to 7 mm.
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There is overlying chondromalacia. Overall appearance appears similar compared to December 2023. No unstable osteochondral fragment. Lateral compartment is unremarkable. There is high-grade chondromalacia in the lateral patella with subchondral cyst formation, not significantly progressed since prior.
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Massive full-thickness rotator cuff tear involving the subscapularis, supraspinatus and infraspinatus, retracted to the level of the glenoid. Teres minor remains intact. Synovial thickening in the subacromial/subdeltoid bursa. Fluid communication with the glenohumeral joint through the massive rotator cuff tear.
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Moderate to advanced AC joint osteoarthritis with osteophytosis. Type II acromion is noted. Diffuse labral degenerative tearing. Medial dislocation of the long head biceps tendon, demonstrating tendinopathy. Large joint effusion with reactive synovitis.
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High-grade chondromalacia involving the anterior margin of the glenoid. Mild muscle bulk loss and diffuse fatty infiltration of the subscapularis, supraspinatus and infraspinatus. Normal bone marrow. No suspicious or aggressive bone lesion.
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There is a horizontal undersurface tear extending from the posterior body and posterior horn of the medial meniscus. There is partial peripheral extrusion of the inferior meniscal body into the gutter. The lateral meniscus remains intact.
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Normal anterior and posterior cruciates. Normal medial collateral and posterolateral ligamentous structures. Normal extensor mechanism. Full thickness cartilage loss involves the central posterior weight-bearing lateral femoral condyle and opposing lateral tibial plateau.
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Mild to moderate chondromalacia of the medial compartment with partial cartilage loss. Mild patellofemoral chondromalacia with partial cartilage loss. Normal proximal tibiofibular joint. Moderate size joint effusion with reactive synovitis.
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Small popliteal cyst. Minor degenerative subchondral marrow edema of the lateral compartment. There is a complex tear of the body posterior horn of the lateral meniscus with dominant radial component at the body horn junction. Peripheral extrusion of the body.
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Horizontal tear of the body and posterior horn of the medial meniscus. Peripheral extrusion of the body. Mild mucoid degeneration vs. sprain of the ACL. PCL intact. Normal medial collateral and posterolateral ligamentous structures. Normal extensor mechanism.
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Moderate chondromalacia with partial cartilage loss in the central weightbearing medial compartment. Moderate lateral compartment chondromalacia with small area of full-thickness cartilage loss in the posterior weightbearing lateral femoral condyle.
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Mild chondromalacia of the superior median ridge. Osteoarthritis with subchondral/ganglion cyst formation fibular head. There is physiologic joint fluid without synovitis. There is no significant popliteal cyst. Normal bone marrow.
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There is an acute nondisplaced fracture involving the lateral tibial plateau with contusion. Bone contusion of the posterior aspect lateral femoral condyle. There is a contusion of the anterior medial tibial plateau. Normal patellofemoral joint. Normal proximal tibiofibular joint.
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Small reactive joint effusion. There is no significant popliteal cyst. Marrow edema associated with the nondisplaced lateral tibial plateau fracture. Contusion of the anterior medial tibial plateau. Sprain with possible low-grade partial tear of the MCL at the level of the tibiofemoral joint line.
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Similar appearance of the ulnar collateral ligament compared to recent MRI June 7, 2024. Some thickening is noted proximally evident suggesting prior sprain or partial tear. No evidence of progressive tear. Radial collateral ligament is intact.
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The ulna nerve is normal as it passes through the cubital tunnel. The visible radial and median nerves are normal. Normal joint. Normal bone marrow. Normal periarticular soft tissues. There is low-level edema within the proximal common flexor musculature suggesting a mild muscle strain.
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There is a full-thickness focal tear of the supraspinatus and infraspinatus, with retraction to the glenoid. Subscapularis and teres minor are intact. Synovial thickening and fluid communicating with the glenohumeral joint through the full thickness defect.
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Mild osteoarthritic change of the acromioclavicular joint. Type II acromion is noted. Diffuse degenerative labral fraying. No paralabral cyst. Intracapsular tendinosis of the long head of the biceps tendon. Extracapsular segment is intact within the bicipital groove.
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There is a small reactive joint effusion and synovitis within the glenohumeral joint. Mild thinning of the posterior glenoid cartilage. There is capsular edema suggesting mild capsulitis likely posttraumatic in the setting of recent injury.
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Acute strain of the infraspinatus greater than supraspinatus with evidence of chronic mild atrophy. Subscapularis and teres minor are intact. Normal bone marrow. Sprain vs. partial tear of the anterior talofibular ligament. The calcaneofibular, posterior talofibular, deltoid and syndesmotic ligaments are intact.
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There is an osteochondral lesion involving the medial talar dome measuring 7 mm medial-lateral 7 mm anterior-posterior. No evidence of fluid signal behind the lesion to indicate instability. There is underlying marrow edema. There is a reactive joint effusion.
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In addition there is edema involving the posterior superior aspect of the calcaneus, without evident fracture. An os trigonum is present. The tarsal tunnel neurovascular bundle is normal. There are intact sinus tarsi interosseous ligaments. The muscles and soft tissues are normal.
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