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Is It Possible To Get Help With Reading MRI For

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Posted on Thu, 4 Jul 2019
Question: Is it possible to get help with reading MRI for knee?
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Follow up: Dr. Vivek Chail (0 minute later)
Is it possible to get help with reading MRI for knee?
doctor
Answered by Dr. Vivek Chail (20 hours later)
Brief Answer:
It is possible to read MRI knee images if you can upload the D DVD images

Detailed Answer:
Hi,
Thanks for writing in to us.

You may upload the DICOM images on your CD DVD to a file sharing website and share the download link.

I can see your MRI knee images at my workstation and give you my opinion.

Also please add a short history of you knee problems and duration of discomfort.

Regards,
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
It is possible to read MRI knee images if you can upload the D DVD images

Detailed Answer:
Hi,
Thanks for writing in to us.

You may upload the DICOM images on your CD DVD to a file sharing website and share the download link.

I can see your MRI knee images at my workstation and give you my opinion.

Also please add a short history of you knee problems and duration of discomfort.

Regards,
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vivek Chail (2 hours later)
What email can I send the images to via Dropbox? I can only upload picture by picture on the upload report page!
Thank you.
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Follow up: Dr. Vivek Chail (0 minute later)
What email can I send the images to via Dropbox? I can only upload picture by picture on the upload report page!
Thank you.
doctor
Answered by Dr. Vivek Chail (5 minutes later)
Brief Answer:
Please send Dropbox link to email below and send query with history details

Detailed Answer:
Hi,
Thanks for writing in to us.

You can send me a the Dropbox link to YYYY@YYYY

Please send a follow up once you are done with sharing the link to enable me to reply to your query.

Request you to add details of your problems.

Regards,
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
Please send Dropbox link to email below and send query with history details

Detailed Answer:
Hi,
Thanks for writing in to us.

You can send me a the Dropbox link to YYYY@YYYY

Please send a follow up once you are done with sharing the link to enable me to reply to your query.

Request you to add details of your problems.

Regards,
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Vivek Chail (42 minutes later)
Hello Dr. Chail,
I sent you the images to the email address you provided.
Some background information and injury.
49 year old tennis player who currently won National tennis championship in the US and qualified for the world championship later this fall. After playing 6-7 matches in as many days - knees felt a little worn out but I did not reflect much about it. A couple of days after the final - pain become apparent and knee also had swelling. Did continue to practice - but pain become more intense for each day - also heard cracking, popping sound from knee - a very sharp pain in the medial meniscus with any twisting motion. Got to the point that I could not play - and could barely walk. After physical examination- diagnosis is Acute medial meniscus tear - with sprained ACL.
Personally- I know my body well and have recently had 5 elbow surgeries - and know when to push through vs when something is not right. Could you pay extra attention to the anterior root horn meniscus bc in my opinion/ my symptoms matches up better with trouble with this than the regular meniscus. Of course anything you find suspect - I would appreciate your comments.
Thank you?
Mattias Johansson
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Follow up: Dr. Vivek Chail (0 minute later)
Hello Dr. Chail,
I sent you the images to the email address you provided.
Some background information and injury.
49 year old tennis player who currently won National tennis championship in the US and qualified for the world championship later this fall. After playing 6-7 matches in as many days - knees felt a little worn out but I did not reflect much about it. A couple of days after the final - pain become apparent and knee also had swelling. Did continue to practice - but pain become more intense for each day - also heard cracking, popping sound from knee - a very sharp pain in the medial meniscus with any twisting motion. Got to the point that I could not play - and could barely walk. After physical examination- diagnosis is Acute medial meniscus tear - with sprained ACL.
Personally- I know my body well and have recently had 5 elbow surgeries - and know when to push through vs when something is not right. Could you pay extra attention to the anterior root horn meniscus bc in my opinion/ my symptoms matches up better with trouble with this than the regular meniscus. Of course anything you find suspect - I would appreciate your comments.
Thank you?
Mattias Johansson
doctor
Answered by Dr. Vivek Chail (6 hours later)
Brief Answer:
Please find details of my observations below

Detailed Answer:
Hi Mattias Johansson,
Thanks for updating me with the details and sharing the images.

My observations are the following

There is mild knee joint effusion.

There is mild bone edema in the articular surface of posterior part of medial condyle of femur. There are mild articular degenerative changes in the articulating surfaces of femur and tibia and patella. The superior surface of patella is showing mild cortical irregularity.

There are grade I signal changes in the medial meniscus. The signal changes in the anterior horn root of the medial meniscus is subtle and possibly indicating a mild strain. The lateral meniscus is normal.

Medial and lateral collateral ligaments are normal.

There is likely mild strain in the posterior superior part of the anterior cruciate ligament, however the ligament attachments are intact. The posterior cruciate ligament is normal.

There is mild prominence of the inter condylar tubercles in the tibial plateau (medial > lateral).

Tibial, femoral condyles and upper end of fibula are otherwise normal.

There is a likely small lymphnode in the popliteal fossa and is not significant.

No evidence of loose bodies.

Postero-lateral corner structures including the popliteus tendon popliteo-fibular ligament are normal.

Normal patella alignment is seen.

The extensor tendons including the Quadriceps and patellar tendon s are normal.

Proximal tibio-fibular joint is normal

Muscles surrounding the knee joint are normal.

Vessels and nerves in the popliteal fossae are normal.

Wishing you a quick recovery and hope you to get back to playing tennis at the earliest.

Regards,
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
Please find details of my observations below

Detailed Answer:
Hi Mattias Johansson,
Thanks for updating me with the details and sharing the images.

My observations are the following

There is mild knee joint effusion.

There is mild bone edema in the articular surface of posterior part of medial condyle of femur. There are mild articular degenerative changes in the articulating surfaces of femur and tibia and patella. The superior surface of patella is showing mild cortical irregularity.

There are grade I signal changes in the medial meniscus. The signal changes in the anterior horn root of the medial meniscus is subtle and possibly indicating a mild strain. The lateral meniscus is normal.

Medial and lateral collateral ligaments are normal.

There is likely mild strain in the posterior superior part of the anterior cruciate ligament, however the ligament attachments are intact. The posterior cruciate ligament is normal.

There is mild prominence of the inter condylar tubercles in the tibial plateau (medial > lateral).

Tibial, femoral condyles and upper end of fibula are otherwise normal.

There is a likely small lymphnode in the popliteal fossa and is not significant.

No evidence of loose bodies.

Postero-lateral corner structures including the popliteus tendon popliteo-fibular ligament are normal.

Normal patella alignment is seen.

The extensor tendons including the Quadriceps and patellar tendon s are normal.

Proximal tibio-fibular joint is normal

Muscles surrounding the knee joint are normal.

Vessels and nerves in the popliteal fossae are normal.

Wishing you a quick recovery and hope you to get back to playing tennis at the earliest.

Regards,
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Vivek Chail (15 hours later)
Thank you Dr. for your report! In your opinion - no surgery would be needed as of now- considering me being an athlete who like to return ASAP to training and tournament play!
Also, if no surgery - how long is the estimated recovery process?
Thank you very much
Mattias
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Follow up: Dr. Vivek Chail (0 minute later)
Thank you Dr. for your report! In your opinion - no surgery would be needed as of now- considering me being an athlete who like to return ASAP to training and tournament play!
Also, if no surgery - how long is the estimated recovery process?
Thank you very much
Mattias
doctor
Answered by Dr. Vivek Chail (37 minutes later)
Brief Answer:
You might recover in about 6 weeks or earlier

Detailed Answer:
Hi Mattias,
Thanks for writing back and hope you are feeling better.

Recovery process for meniscal tears can take 6 weeks, however, since you are an athlete with an active and healthy lifestyle, it is possible that you can start playing sooner and without much pain and discomfort.

In my opinion, you can play a few shots once you feel better and if you have given yourself a rest of about 4 weeks and slowly get into the game. Your physical therapist is the best person to guide you through the recovery process though.

Regards and best wishes,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
You might recover in about 6 weeks or earlier

Detailed Answer:
Hi Mattias,
Thanks for writing back and hope you are feeling better.

Recovery process for meniscal tears can take 6 weeks, however, since you are an athlete with an active and healthy lifestyle, it is possible that you can start playing sooner and without much pain and discomfort.

In my opinion, you can play a few shots once you feel better and if you have given yourself a rest of about 4 weeks and slowly get into the game. Your physical therapist is the best person to guide you through the recovery process though.

Regards and best wishes,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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Is It Possible To Get Help With Reading MRI For

Is it possible to get help with reading MRI for knee?