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please tell me if this mri report looks like I need surgery

Findings:
     Medial Compartment:
     - Medial meniscus: There is a horizontal tear in the posterior horn and
     body of the medial meniscus with blunting of the posterior horn, likely
     related to partial meniscectomy.
     - Cartilage: Mildly increased signal with minimal surface irregularity
     without full-thickness defect.
     - Medial collateral ligament: Intact.
      
     Lateral Compartment:
     - Lateral Meniscus: There is minimal blunting of the body of lateral
     meniscus as seen on image 9:21.
     - Cartilage: There is a focal area of full-thickness cartilage defect of
     the articular surface of tibial plateau as seen on image 9:21. Also seen
     is mildly increased signal in the articular cartilage in keeping with
     chondromalacia with few areas of partial-thickness cartilage loss.
     - Lateral collateral ligament: The lateral collateral ligament is intact.
      
     Anterior compartment:
     - Patellar cartilage: There is marked thickening with multifocal areas of
     full-thickness cartilage defect involving the medial and lateral
     articular surface of patella with extensive subchondral cystic changes,
     more so on the lateral articular surface.
     -Trochlear cartilage: There multifocal areas of full-thickness cartilage
     defect with extensive subchondral edema involving the trochlear
     cartilage.
     - Medial and lateral retinaculum: Intact
     - Quadriceps Tendon: Unremarkable
     - Patellar tendon: Minimal increased signal at the proximal attachment of
     patellar tendon in keeping with mild tendinopathy.
      
     Cruciate ligaments:
     - ACL: Intact.
     - PCL: Intact.
      
     Posterolateral corner:
     - Popliteus tendon: Unremarkable.
      
     Hoffa's Fat Pad: There is linear edema within the Hoffa's fat pad, likely
     related to recent arthroscopy.
      
     Bone marrow: Extensive marrow edema involving the medial femoral condyle,
     likely related to recent contusion. Subchondral edema in the lateral
     femoral articular surface, likely degenerative in etiology.
      
     Joint space: There is a small suprapatellar joint effusion. There are no
     intra-articular loose bodies.
      
     Soft tissues: A small popliteal cyst is noted between the medial head of
     the gastrocnemius and the semimembranosus.
      
     IMPRESSION:
     1.  Horizontal tear of the body and posterior horn of medial meniscus
     with blunting status post partial meniscectomy.
     2.  Blunting of the body of the lateral meniscus.
     3.  Multifocal cartilage defect involving the lateral and anterior
     compartment with extensive subchondral cystic changes as described above
     4.  Contusion of the medial femoralcondyle.
     5.  Small suprapatellar joint effusion and small popliteal cyst.
     6.  Proximal patellar tendinopathy.
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