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MRI Help


I had an MRI done last month and after fighting with the doctors office, I finally got a copy of it. I've done the internet search and made most of it understandable but am wondering how bad my knee really is. My doctor says I can be looking forward to the injections and total knee replacement soon enough.

My questions-if someone can help me.
There is not much information on the web for what Chondral Disease is? The MRI uses high grade not Grade I or whatever other grades, does that mean I still have a good amount of cartilage or how does this compare?

Findings (i've tried to only high light the most important things, my ACL are other ligaments and tendons are fine)
"There is no knee hoint effusion. Susceptibility-type artifacrs are seen in the medial peri-retinacular soft tissues." The menisci are normal in configuration and without any definite signal abnormalities."
"There is a localized subchondral marrow signal alteration at the weight-bearing aspect of the lateral femoral condyle, likely on the basis of overlying chondral disease. No osteochondral lesions or loose bodies are identified. There is evidence of chondromalacia at the patelle. No focal chondral defects are identified."

"High Grade paterllar chondromalacia"
"Localized chondral disease at the weight bearing aspect of the lateral femoral condyle"
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Avatar universal
I think that your question pertains to how significant the degree of damage to cartilage (chondral disease). So in answer to this, both the localised and the chondromalacia refer to to cartilage loss. The high grade chondomalacia refers to a significant amount of thinning of the cartilage that overlies the patella and acts as a cusion between that and the rest of the knee joint. The other area in which there is cartilage loss in at the outer part of the main thigh bone at the knee joint. However the rest cartilage disc in between the knee joint appear normal from this report. With regards to treatment, a lot of decisions are based on the clinical picture - how much this is affecting you and your activities and what the knee is like on examination. I hope this has been of some help and has answered your questions.
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Avatar universal
Can you clarify the difference in chondral disease and chondromalacia?

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