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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does MRI As Lumps In Knee Indicate?

I just recently had a MRI of my left knee. This is the report. I have a solid lump in the inner side of my knee. It is painful at times. Here is a copy of the results. Would. Just like to get your opinion on what it all means~ Thank you for taking the time to read it and respond~Judi Army wife stationed at Ft. Leavenworth Procedure:MRI, KNEE LT (WO/CONTRAST) 0000 Order Comment: NO BRIEF COMMENT Reason for Order: MRI Left knee for focal signs of meniscal tear with +Mcmurrays sign, focal JLT medial joint line. Also medial swelling. Exam #:0000 Exam Date/Time:0000 Transcription Date/Time:0000 Provider:12411 GRIMES JR., ROBERT W. Requesting Location:ORTHOPEDIC CLINIC 0058 MUNSON ACH FT LEAVENWORTH KS Status:COMPLETE Result Code: 9 SEE RADIOLOGIST S REPORT Interpreted By:19152 ROHLING, NATHAN J Approved By: 19152 ROHLING, NATHAN J Approved Date:0000 Report Text: MRI LEFT KNEE WITHOUT CONTRAST: Technical Data: Axial T2 fat-sat, coronal T2 fat-sat, sagittal PD fat-sat, sagittal T2 fat-sat and oblique sagittal thin cuts through the ACL were obtained. Comparison: None. Findings: Ligaments:The medial and lateral ligamentous complexes appear intact. There is edema about the medial ligamentous complex. The ACL is fairly well-defined and appears intact. The PCL is well-defined and appears intact. Menisci:There is abnormal signal in the posterior horn of the medial meniscus extending to the inferior articular surface consistent with a tear. There are degenerative changes in the anterior horn of the medial meniscus. There is abnormal signal in the posterior horn of the lateral meniscus extending to the inferior articular surface consistent with a tear. There are degenerative changes in the anterior horn of the lateral meniscus. Bone marrow:The bone marrow signal characteristics are unremarkable. There is no evidence of occult fracture, bone marrow edema or osteochondral lesion. Patellofemoral mechanism:The patellar and quadriceps tendons are intact. The medial and lateral retinaculum are intact. There is a small joint effusion. The cartilage in the patellofemoral joint is relatively well-maintained. The para-articular soft tissues are intact. There is no evidence of a Baker s cyst. There is complex cystic area medial to the medial ligamentous complex measuring about 1.6 cm transverse x 2.8 cm AP x 3.8 cm cephalocaudal. IMPRESSION: 1. Tears of the posterior horn of the medial meniscus and posterior horn of the lateral meniscus. Degenerative changes are noted in the anterior horn of the medial and lateral menisci. 2. Ligaments appear intact. There is edema about the medial ligamentous complex suggesting a strain. There is a complex cystic area medial to the medial ligamentous complex measuring about 1.6 x 2.8 x 3.8 cm that is probably related to ligamentous injury. 3. No occult fracture, bone marrow edema, or osteochondral lesion. 4. Small joint effusion. 5. Recommend correlation with the clinical symptoms and physical exam to assess the significance of the above findings. INTERPRETING RADIOLOGIST:James Zimmerman MDElectronically Signed: May 22nd, 2014 10:07PM CDT RealRad x-ray disclaimer statement The above report was dictated and verified by Dr. James Zimmerman, MD from (outside provider). This is an administrative verification only
Mon, 18 Aug 2014
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Radiologist 's  Response
Hi,
Thanks for writing in to us.

In short your have the following findings in your left knee.

There is mild injury to the ring like structures in the knee joint which are known as menisci. These also reveal pre existing degenerative changes.

The medial ligaments in the left knee joint show injury related swelling and also the small rounded lump which is also a result of injury.

Small amount of fluid collection is noted in the left knee joint.

Your injuries are mild in nature and unless your locomotion is severely limited, you do not require surgery.
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What Does MRI As Lumps In Knee Indicate?

Hi, Thanks for writing in to us. In short your have the following findings in your left knee. There is mild injury to the ring like structures in the knee joint which are known as menisci. These also reveal pre existing degenerative changes. The medial ligaments in the left knee joint show injury related swelling and also the small rounded lump which is also a result of injury. Small amount of fluid collection is noted in the left knee joint. Your injuries are mild in nature and unless your locomotion is severely limited, you do not require surgery.