About B. Love AS, R.T.(R) (ARRT) Expertise Answer - any questions concerning radiographic (X-Ray) positioning, exam expectations, procedural concerns, effects of radiation, as well as other modalities such as CT, and MRI.
Experience I have over 15 years of experience in X-ray, as well as several years of teaching radiographic examinations and positioning, anatomy pathology, etc.
Organizations American Registry of Radiologic Technologist (ARRT)
American Society of Radiologic Technologist (ASRT)
Education/Credentials As of the end of 2008 I will be certified for MRI as well as completing my Bachelors of Science in Radiographic Sciences (BSRS)degree. Currently I hold an Associates degree in Radiological Sciences from Kent State University in Ohio. I am a registered Radiographer in Ohio and Florida and certified by the American Registry of Radiologic Technologist (ARRT).
Expert: B. Love AS, R.T.(R) (ARRT) Date: 6/14/2008 Subject: MRI REPort
Question Could you interperet my MRI? Thanks
Findings
There is apparent external rotation of the tibia on the femur. There is some mild bone oedema identfied within the proximal tibia medially distal to the fusing growth plate. No evidence of cortical breach is identified.
There is some further bone oedema identified around the tibial attachment of the ACL and there is some irregularity of the ACL just adjacent to its attachment in keeping with a partial or complete tear or possibly an avulsion.
The lateral collateral ligament is very poorly seen and I suspect is ruptured. The PCL appears intact with the menisci appearing intact with no evidence of meniscal tear.
There is a small amount of fluid within the joint and the patellofemoral joint appears normal. There is no evidence of cartilaginous loss from the patella, femur or tibia.
The MCL is intact. There is moderate to severe subcutaneous oedema identified anteriorly superficial to the patella and more inferiorly and laterally to the head of the fibular. I am not convinced of seeing any obvious fibular injury.
There is apparent loss of bulk of gastrocnemius and hamstring muscles.
There is some high signal identified within the distal medial expansion adjacent to its insertion into the patella. I see no evidence of osteochondral injury of the patella to suggest patellofemoral dislocation.
Conclusion
Evidence of LCL injury. Abnormality of the tibial insertion of the ACL which may represent a tear or an avulsion at this point. The remainder is intact. Slight irregularity of the inferior aspect of medial expansion inserting into patella.
Answer Your Lateral Collateral Ligament ( a ligament on the outside area of your knee) is injured
You have something going on with your ACL (anterior Cruciate Ligament) which may be a tear of the ligament or a type of break/fracture called an avulsion fracture.
Also the muscles around your lower thigh above the knee are smaller than normal...maybe it hurts and you are not using your knee as much causing muscle loss.
You also have some fluid in your knee...this may make your knee feel full or swollen inside.