Can anyone make more sense of my MRI results?

Bones, joints and muscles
1

The nurse that called me with the results couldn't give me more insight. She's a stand in for a different nurse, and she flat out said she didn't know what a bony protuberance was... like... how do you not know what that is 😂😂

Anyways. Any better insight would be awesome. I Don't go see the Ortho surgeon for another 2 weeks... *sigh*

Thank you 😊

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Impression

1. No meniscal tear or acute ligamentous injury.

2. Cartilage fissuring and irregularity in the medial patellar facet. Mild

signal heterogeneity in the cartilage in the medial joint compartment. Findings

may represent chondromalacia and degenerative change or sequela of chondral

injury.

3. Small knee joint effusion.

4. Bony protuberance over the medial aspect of the proximal tibial metaphysis.

The findings may represent osteochondroma at this level, although no definite

cartilage cap identified. Other etiology such as a tug lesion could be a

consideration as well. There is no bone marrow edema or surrounding soft tissue

edema in this region.

Examination: MRI Knee Without Contrast Right

Date of Exam: 7/11/2017, 2:19 PM.

Comparison: Plain radiographs dated 6/22/2017.

Diagnosis/Reason for Exam: Pain in right knee; Pain in left knee; Other chronic

pain; Other specified acquired deformities of musculoskeletal system.

Additional History: Pain right knee, mostly medial and anterior for 1 year plus,

pain when going downstairs; no surgeries; no known trauma.

Contrast: None.

Sedation: None.

Technique:

MRI of the knee without intravenous contrast. Multiplanar, multisequence MR

images were obtained.

Discussion:

Bones: Bone marrow signal is unremarkable. No acute fracture or osseous

contusion is seen. There is bony protuberance over the medial aspect of the

proximal tibial metaphysis. The findings could represent osteochondroma at this

level. No definite cartilage cap identified. No bone marrow edema identified in

this region. Other etiology such as a tug lesion could be a consideration as

well.

Joint: The alignment is anatomic. There is a small knee joint effusion.

Soft tissues: Unremarkable. No Baker's cyst.

Cartilage: There is cartilage fissuring and irregularity in the medial patellar

facet. The findings suggest chondromalacia and degenerative change. Other

etiology such as sequela of chondral injury could be a consideration as well.

There is mild cartilage signal heterogeneity in the medial joint compartment.

2

I can't imagine dumping all that info on someone without any medical training. I would suggest you not worry about it until you see the Dr and then tell him you didn't appreciate all that info without definition. Where I'm from that would never be allowed.

3

Yes, same here Oldfatguy1.  The only way to get results is to be in an appointment with the doctor.

4

Hi Folieadeux, In Oz, we can only get any results while you're in an appointment with the Dr.  You need to put your feelings and concerns on hold till you have had your appointment.  I could google the small parts of this I don't understand, but hey, that's dangerous.  2 weeks to hold on isn't long.  Good luck and please let us know how you get on.

5

I must also add that I have checked through a lot of medical things where I do know the answers and just to check it have done many google searches.  It has taken a huge amount of incorrect responses to finally get a correct result.  Never forget that the ones at the top of google are just paid for, they're not necessarily correct, so I think you'll just worry yourself if you go there.  I wish you lots of luck when you see your dr and please let us know.. Take care

6

Oh I know it. And I get the gist of what it is saying, but there were a couple things in there that I couldn't find on Google. Like the very last sentence for instance.

2 weeks is not long at all. But, boy does it feel longer when you can't sleep at night, or get around.

Funny thing. I actually diagnosed my own herniated disc using Google. Went in to my Dr and told him my thoughs and I was right. With my knee though, I went in thinking I had tendonitis in my knees. And turns out I have a growth and my cartilage is deteriorating and they can't apparently decide what it is 😂

I can't even take anti inflammatories until next Thursday. No ibuprofen, not my arthritis medicine. I'm having an unrelated surgical procedure on the 19th. So this is going to be A LONG week. Just hoping the ortho hospital has answers and an idea on how to help the pain.

Thank you cheryl86544 for your kind comments 😊

7

Yeah, I'm definitely just trying to get by until then. Rough for the next week because I can't take any anti-inflammatories, or my arthritis medicine until the 20tg due to an unrelated surgical procedure on the 19th. 😕 gonna be a long week. Thank you for your reply. 😊

8

I also, do pretty well getting by reading medical terminology. Test results and such. I started reading up on everything medical related as a young age as I aspired to be a forensic pathologist. I use Google to make sense of the things I don't know, but there were a few things in my results I couldn't find 😂 thanks again!

9

I don't think it hurts anybody or anything to ask. In fact I think it's more healthy than to simply be consumed by it for the next 2 weeks, plus it's not going to change any thing or what the doctor is going to say it is. After all, isn't that what this site and all the other forums are all about?

10

Anyone have any pointers?

As I stated in some comments, I can't take any NSAIDs until Wednesday afternoon due to a surgical procedure.

My knee is visibly swelling, and Thursday, it actually gave out on me. I nearly threw up from the pain.

I have been generously icing the knee, and trying to elevate it. But it doesn't seem to be making a difference...

Any ideas that don't involve anti-inflammatories? 😭😭

Thanks guys.

11

Hello

It sounds like u have a bone spur and there is alot u can do to help with the rotten crunching sound u can ask ur doc for injections of neovisc try

swiming sry but u have to get ur joint moving

All the best

boom

12

I absolutely relate. I'm sorry to hear you have to go through this.  One thing that helps me is to think about what I like and focus on that and find an easy activity to do that supports what you like.  It sounds trivial but I find that it works for me and maybe it'll give you some relief.  It gets you thinking about what you do like and that's a good thing.  Just do nice things for yourself every day anyway, but especially leading up to this appointment.