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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had An MRI. Cyst Deep In Semimembraneous Muscle, Epiphysis And Proximal Metaphysis, Periosteal Thickening. Meaning?

My son had an MRI done yesterday on his right knee (baseball injury six weeks prior). Some findings were:

1. thin Bakers cyst extending superiorly deep to the semimembranosus uscle.
2. There is an abnormal marrow signal involving the proximal fibula. This is seen involving the epiphysis and proximal metaphysis [What is this?]
3. periosteal thickening with increased signal along the lateral proximal fibular metaphysis which is incompletely visulatized.
4. Periosteal thickening measures up to 4.5 mm in thickness and extends posteriorly as well.
5. x-rays from 3/28/13 reviewed show no osseous abnormality of the proximal fibula.

What does this mean?
Mon, 20 May 2013
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Radiologist 's  Response
hi dear
1.baker cyst is an incidental finding and symptom due to cyst depends on size of cyst.
2.abnormal marrow signal intensity is incomplete language it depends on how it look on various sequence of MRI.
3.periosteal thickening may be due to infection.
4.xrays as compared to MRI have much lesser sensitivity so plain radiograph may be normal despite injury.
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Had An MRI. Cyst Deep In Semimembraneous Muscle, Epiphysis And Proximal Metaphysis, Periosteal Thickening. Meaning?

hi dear 1.baker cyst is an incidental finding and symptom due to cyst depends on size of cyst. 2.abnormal marrow signal intensity is incomplete language it depends on how it look on various sequence of MRI. 3.periosteal thickening may be due to infection. 4.xrays as compared to MRI have much lesser sensitivity so plain radiograph may be normal despite injury.