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Mri Report On Both Knees.


Jayg

Question

I just had both knees MRI'd. I got a copy of the report. I don't see my doc until May. In the meantime, I sure would like to know what the heck they found. Can anybody translate this stuff??

Right Knee w/o contrast

The knee joint compartments are intact and well maintained. Medial meniscus has a focal radial tear toward the posterior horn. Lateral meniscus is intact. There is a moderate amount of joint effusion in the suprapatellar bursa. Cruciate ligament and the collateral ligaments are intact. Patellofemoral joint is unremarkable.

Impression: Radial tear to the medial meniscus posterioly. Joint effusion.

Primary diagnostic code:Suspicious for New Malignancy need FU

Anybody know what the hey that last item especially, means???

Now for the...

Left knee w/o contrast

Media knee Joint compartment is moderately narrowed w/periarticular osteophyte changes. A focal subchronal erosion on the medial tibial plateau is noted. The medial meniscus shows truncation and focal chronic tear to the posterior horn. Lateral meniscus has intrasubstance signal changes and has a small horizontal tear to the posterior horn. The cruciate ligament, collateral ligament and patella tendons are intact. Moderate amount of joint effusion over the supratella bursa. A moderate sized popliteal cyst measuring 4.6 x 2.1 cm on the medial aspect.

Impression:

Local mild osteoarthritic changes on the medial knee joint compartment w/chronic tear to the medial meniscus and also degenerative tear to the lateral meniscus. Moderate amount of joint effusion and moderate popliteal cyst.

Primary diagnostic code:Suspicious for New Malignancy need FU

Moderate? Mild?? I'm on several strong meds and the pain in my knees still wake me up at nights, I can hardly walk and standing for any length of time is impossible! :lol:

Sounds like the left knee is in worse shape but of late, (probably as compensation) the right knee has been hurting, swelling, more. It was the Right knee a doctor wanted to operate on back in 2003. (I didn't have it done.) If it was the right knee what needed surgery, and the left is worse, am I in as bad shape as I feel??? :lol:

And one more thing. Is this guy trying to slip me the double talk???

(from 2005 record I just got)

Gait is steady w/ good pace. He appears to wobble side-to-side especially when he first gets up. :blink:

Any input would be most welcome, thank you.

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I have another appointment with VA Ortho for my knees on Monday. This appointment was set up because I told my pcp that an outside Ortho ordered an MRI of both knees and now wants to do surgery. So, I will add my two cent after that appointment on Monday.

In the meantime, maybe someone else will come along and give you a better response.

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I inserted medical web references and one quick definition where most appropriate. you can expand this by searching on the various medical terms and reading the references. Others can easily be researched by using windows IE's search function, or the search box in some of the web references I listed.

I just had both knees MRI'd. I got a copy of the report. I don't see my doc until May. In the meantime, I sure would like to know what the heck they found. Can anybody translate this stuff??

Right Knee w/o contrast

The knee joint compartments are intact and well maintained. Medial meniscus has a focal radial tear toward the posterior horn. Lateral meniscus is intact.

http://www.csmc.edu/9909.html

There is a moderate amount of joint effusion in the suprapatellar bursa. Cruciate ligament and the collateral ligaments are intact. Patellofemoral joint is unremarkable.

Impression: Radial tear to the medial meniscus posterioly. Joint effusion.

Primary diagnostic code:Suspicious for New Malignancy need FU

Anybody know what the hey that last item especially, means???

Now for the...

Left knee w/o contrast

Media knee Joint compartment is moderately narrowed w/periarticular osteophyte (http://www.medscape.com/viewarticle/536924_2) changes. A focal subchronal erosion on the medial tibial plateau is noted. The medial meniscus shows truncation and focal chronic tear to the posterior horn. Lateral meniscus has intrasubstance signal changes and has a small horizontal tear to the posterior horn. The cruciate ligament, collateral ligament and patella tendons are intact. Moderate amount of joint effusion(abnormal buildup of joint fluid) over the supratella bursa. A moderate sized popliteal cyst measuring 4.6 x 2.1 cm on the medial aspect.(http://www.mayoclinic.com/health/bakers-cyst/DS00448)

FU Further ?Understanding/investigation/development?

ORIGINAL Message

I just had both knees MRI'd. I got a copy of the report. I don't see my doc until May. In the meantime, I sure would like to know what the heck they found. Can anybody translate this stuff??

[

Edited by Chuck75
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Jay, did your Primary Care Doc call you abou this MRI?

The Radiologist report mentioned Malignancy. Have you had any cancers?

The Radiologist suggested a follow up be done.

It it was me and I could afford to, I would be at a Ortho Doc Monday AM.

You should be calling to clarify the malignancy. ( Cancer with the ability to spread)

I got a scare like this 3 years ago.

J

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Jay, did your Primary Care Doc call you abou this MRI?

The Radiologist report mentioned Malignancy. Have you had any cancers?

The Radiologist suggested a follow up be done.

It it was me and I could afford to, I would be at a Ortho Doc Monday AM.

You should be calling to clarify the malignancy. ( Cancer with the ability to spread

I got a scare like this 3 years ago.

J

My doc hasn't responded yet but the report was only generated 4/18. Knowing VA, I may have seen it before him. :lol:

No history of cancer. I can't afford anything. Period. VA is my primary and only care. I've been unemployed since 2004. Been wrassling with VA over secondary conditions, like these knees. They ain't sc --- yet.

I am not on but will be applying for SSD but Lord knows how long that will take. I reckon I'll be calling my doc Monday.

But I did ask somebody I know who knows somebody and just got this from him...

Suspicious for New Malignancy = there is some disease or condition at work here that was not identified in the records at the radiologist's disposal, has recently emerged, or has not been diagnosed. He suspects degenerative or rheumatoid arthritis. It is a term meaning 'probably gonna get worse without intervention.' It does not imply cancer.

Edited by Jayg
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Hi Jayg from what I am reading here you have a torn meniscus with posiible osteophytes possibly Chondrocalcinosis of the articular and fibrocartilage of the left knee in a patient with calcium pyrophosphate dihydrate deposition disease (CPPD) ... Media knee Joint compartment is moderately narrowed w/periarticular osteophyte changes. A focal subchronal erosion on the medial tibial plateau is noted. The medial meniscus shows truncation and focal chronic tear to the posterior horn. Lateral meniscus has intrasubstance signal changes and has a small horizontal tear to the posterior horn. The cruciate ligament, collateral ligament and patella tendons are intact. Moderate amount of joint effusion over the supratella bursa. A moderate sized popliteal cyst measuring 4.6 x 2.1 cm on the medial aspect.Media knee Joint compartment is moderately narrowed w/periarticular osteophyte (http://www.medscape.com/viewarticle/536924_2) changes. A focal subchronal erosion on the medial tibial plateau is noted. The medial meniscus shows truncation and focal chronic tear to the posterior horn. Lateral meniscus has intrasubstance signal changes and has a small horizontal tear to the posterior horn. The cruciate ligament, collateral ligament and patella tendons are intact. Moderate amount of joint effusion(abnormal buildup of joint fluid) over the supratella bursa. A moderate sized popliteal cyst measuring 4.6 x 2.1 cm on the medial aspect.(http://www.mayoclinic.com/health/bakers-cyst/DS00448)

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Hi Jayg from what I am reading here you have a torn meniscus with posiible osteophytes possibly Chondrocalcinosis of the articular and fibrocartilage of the left knee in a patient with calcium pyrophosphate dihydrate deposition disease (CPPD) ... Media knee Joint compartment is moderately narrowed w/periarticular osteophyte changes. A focal subchronal erosion on the medial tibial plateau is noted. The medial meniscus shows truncation and focal chronic tear to the posterior horn. Lateral meniscus has intrasubstance signal changes and has a small horizontal tear to the posterior horn. The cruciate ligament, collateral ligament and patella tendons are intact. Moderate amount of joint effusion over the supratella bursa. A moderate sized popliteal cyst measuring 4.6 x 2.1 cm on the medial aspect.Media knee Joint compartment is moderately narrowed w/periarticular osteophyte (http://www.medscape.com/viewarticle/536924_2) changes. A focal subchronal erosion on the medial tibial plateau is noted. The medial meniscus shows truncation and focal chronic tear to the posterior horn. Lateral meniscus has intrasubstance signal changes and has a small horizontal tear to the posterior horn. The cruciate ligament, collateral ligament and patella tendons are intact. Moderate amount of joint effusion(abnormal buildup of joint fluid) over the supratella bursa. A moderate sized popliteal cyst measuring 4.6 x 2.1 cm on the medial aspect.(http://www.mayoclinic.com/health/bakers-cyst/DS00448)

What I'd like to know is what that means to me. My leg. Are they gonna have to operate? that sort of thing.

I had to register on medscape so I'll start wading through there and see what I can find. I couldn't access and article from the address you provided. I'll try again later though. Thanks.

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