This is the report from the doctors, whatever the heck this means I have no idea... Gotta research it...
Narrative
MRI RIGHT KNEE
HISTORY: 24-year-old male status post debridement of right knee
12/17/2012 for synovial chondromatosis, status post fall a few months
ago with hyperextension injury, increased posterior pain, decreased
flexion.
TECHNIQUE: Multiplanar multisequence MR imaging of the right knee was
performed without contrast utilizing the following sequences:
Sagittal proton density, sagittal T2 fat-sat, coronal T1, coronal T2
fat-sat, axial T2 with fat-sat, coronal proton density through the
ACL.
COMPARISON: Right knee radiographs 12/27/2013, 09/20/2013.
FINDINGS:
Menisci: There is a vertical tear of the anterior horn of the lateral
meniscus that extends to the anterior root. Medial meniscus is
intact. Mild medial meniscal extrusion is present.
Cruciate and collateral ligaments: The anterior and posterior
cruciate ligaments are intact. The medial collateral ligament,
lateral collateral ligament and posterolateral corner structures are
intact.
Cartilage: The articular surface is intact without evidence of
partial or full-thickness defects.
Extensor mechanism and tendons:There is minimal increased signal
within the distal patellar tendon. The quadriceps and patellar
tendons are otherwise intact.
Bones: No acute fracture. Bone marrow signals within normal limits
without evidence of infiltrative process.
Muscles: There is no muscle edema or atrophy.
Joint fluid/synovial: There is a moderate joint effusion. Lobulated
intra-articular masses are present about the posterior aspect of the
joint. These surround the posterior aspect of the femoral condyles.
Medially and centrally more focal rounded masses are identified.
These masses demonstrate increased signal on T2-weighted images,
hypointensity on T1-weighted images with areas of signal dropout
consistent with mineralization. The largest rounded lesion measures
approximately 3.4 x 2.5 x 2.7 cm in the transverse, AP and
craniocaudal dimensions. These findings are consistent with synovial
osteochondromatosis.Impression
IMPRESSION:
MULTIPLE INTRA-ARTICULAR MASSES WITHIN THE POSTERIOR JOINT SPACE,
COMPATIBLE WITH SYNOVIAL OSTEOCHONDROMATOSIS.
MODERATE JOINT EFFUSION.
VERTICAL TEAR OF THE ANTERIOR HORN LATERAL MENISCUS.
So if I read this correctly, and from what my sister told me, I have a tear on the anterior horn on my lateral meniscus, and the disease is still there and if it is synovial osteochondromatosis, it is even more rare than the regular synovial chondromatosis. My knee is really swollen and hurts like heck right now. I can sorta feel a tender spot where I think it might be torn at. Going to call the doctor tomorrow and see if I can get some answers on what is all going on with my surgery now that there is a whole new can of worms opened up...
