Effusion that doesn't go away, mri results

hello,i have been having a hard time with an effusion on my left knee

. and in February i had an mri done, there are A LOT of doctors notes, things i don't understand, can't make sense of.. but I'm thinking that the doctor who ordered the mri for me is minimizing how bad it really is. he says there's no infection, yet mri says SEVERE synovitis, for example. can anyone here look at these notes and tell me what all of this means? I've had this going on for MONTHS with no improvement! anything helps at this point! mri results/notes below thank you!

EXAM:

LEFT KNEE MRI WITHOUT CONTRAST

EXAM DATE: 2/3/2023 07:20 AM

CLINICAL HISTORY: Pain and swelling of left knee. ICD-10-CM - M25.562 Pain in

left knee. ICD-10-CM - M25.462 Effusion, left knee.

COMPARISON: Radiographs 01/26/2021.

TECHNIQUE: Multiplanar, multisequence T1-weighted and fluid-sensitive sequences

of the knee without contrast. Other: None.

FINDINGS: Evaluation mildly limited due to patient motion and artifact.

Bones: Severe patchy bone marrow would edema at the distal femur and proximal

tibia, centered at the lateral compartment where there is new mild to moderate

mechanical wear and moderate to large cystic foci at the articular surfaces.

Subtle fragmentation also present at the lateral margin lateral tibial plateau.

Mild cortical irregularity at the medial margin of the patella and to a lesser

extent at the medial margin medial femoral condyle and lateral margin lateral

femoral condyle at the capsular insertions.

Articular Cartilage: Diffuse full-thickness loss at the lateral compartment.

Deep partial to full-thickness loss and fissuring/tearing at the medial and

patellofemoral compartments.

Medial Meniscus: The medial meniscus is intact.

Lateral Meniscus: Degenerative fraying and mild maceration at the free edges

body and posterior horn.

Cruciate Ligaments: The anterior and posterior cruciate ligaments are grossly

intact.

Collateral Ligaments: Moderate thickening and edema at the medial and lateral

collateral ligaments, greatest proximally.

Tendons: Minimal quadriceps and semimembranosus tendinopathy. Patellar and

popliteus tendons unremarkable.

Musculature: No gross fatty atrophy. Moderate to severe edema in the popliteus

muscle and anterior compartment lower leg. Mild edema in the medial and lateral

heads gastrocnemius muscles.

Other: Large joint effusion with severe synovitis. Possible ill-defined debris

in the medial and lateral aspects of the suprapatellar region. Large amount of

fluid extends through the popliteus hiatus. Reactive edema in the medial and

lateral retinacula. Moderate to severe edema and distortion at the inferior

aspect of the lateral retinaculum at the junction with the distal patellar

tendon.

Moderate to severe subcutaneous edema, greatest anteriorly.

IMPRESSION:

1. Severe patchy bone marrow edema centered at the lateral compartment where

   there is new mild to moderate mechanical wear, cystic foci with fragmentation

   and large joint effusion with severe synovitis. Findings concerning for

   inflammatory arthropathy or septic joint with rapidly progressive

   osteoarthritis. Recommend clinical correlate with laboratory values. May

   consider correlate with joint aspiration.

2. Degenerative fraying and maceration of the lateral meniscus.
3. Diffuse moderate to severe soft tissue edema with possible myositis and

   cellulitis.

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