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Fun with MRI's (help)
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Fun with MRI's (help)

42 year old with osteoarthritis in both knees and feet in constant pain (20mcg Butrans patch) seeks help with my MRI results.
“There is trochlear dysplasia with obliquely oriented trochlear groove and facet asymmetry.
There are degenerative changes involving lateral patellar articular cartilage with subchondral bone changes suggesting grade 3-4 chondromalacia. These changes are in keeping with patellofemoral instability.
Normal appearances of medial and lateral meniscus. Normal appearance of anterior and posterior cruciate ligaments. Normal soft tissue appearances of patellar cruciate ligaments. Normal bone marrow signals. Small joint effusion noted in suprapatellar recess.”  
Any help putting that into English much appreciated
1711789_tn?1361311607
Hi there!

The MRI describes mild joint orientation abnormality and thinning of the cartilage that lines the knee cap to cause smooth functioning of the knee joint. Rest of the knee structures appear to be normal.
Hope this helps.

Take care!
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