Knee pain walking, sitting, driving, etc. - Looking for help to interpret MRI results

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Hello Everyone!

I've had pain in my right knee for a long time – I think for about 3 years now...

It might have started as a foot pain, but I don't remember, to be honest...

I went to a good doctor, he ordered an MRI, but he overcharged me for the initial consultation, and now I'm kind of thrown off by that...

Is there anybody knowledgeable here to help me interpret the MRI results?

Or, maybe somebody has had similar MRI results?

How can I make my pain go away? Preferably, non-surgical ways.

I'd appreciate any input (besides the obvious “go to (another) doctor”).

Study Result

Impression

Apical free edge radial parrot-beak tear, junction of mid body and anterior horn of the medial meniscus with apical fraying or continuation throughout the posterior horn with indistinctness of its margins back to the posterior root. Large undersurface oblique flap tear of the posterior horn of the medial meniscus, widest at the posteromedial corner extending out through the meniscocapsular junction. The tear attenuates in size, becoming much thinner as it progresses laterally throughout the posterior horn with intrasubstance degenerative signal extending into the posterior root. No evidence of displaced fragment. Intact anterior horn. Very mild subjacent stress related bone marrow edema at the peripheral medial tibial plateau.

Small synovial joint effusion with a collapsed Baker's cyst.

Intact cruciate and collateral ligaments.

No evidence of significant weightbearing chondromalacia.

Normal patellofemoral joint.

Narrative

MRI KNEE RIGHT WO CONTRAST

REASON FOR STUDY: Chronic intermittent anteromedial knee pain for the past several years

TECHNIQUE:

A variety of T1, T2, and proton density with fat saturation fast spin echo sequences of the right knee were obtained in the sagittal, coronal, and axial planes. The study was performed on a 1.5 Tesla GE Signa magnetic resonance scanner.

FINDINGS:

There is normal signal intensity throughout the osseous structures. There is preservation of height of the lateral and medial weightbearing compartments. There is no evidence of weightbearing chondromalacia. There is a small intra-articular joint effusion. The lateral meniscus is normal in size, shape, and signal intensity. There is an apical free edge radial parrot-beak tear (image 12, series 8) at the junction of the mid body and anterior horn of the medial meniscus with the free edge tear extending along the undersurface into a large oblique flap tear, widest at the posteromedial corner of the medial meniscus extending out through the posterior meniscocapsular junction. The tear becomes much thinner in size but persistent extending down to the inferior articular surface throughout the posterior horn of the medial meniscus with intrasubstance degenerative signal extending into its posterior root. There is indistinctness along the free edge margin of the posterior horn and root which may represent continuation of the free edge tear with fraying. There is no evidence of displaced bucket-handle fragment. There is mild reactive bone marrow edema within the subjacent peripheral medial tibial plateau. There is also very mild posterior parameniscal synovitis but no cyst formation. The anterior and posterior cruciate ligaments appear intact. Both the tibial and fibular collateral ligaments as well as the distal iliotibial band are normal. There is no evidence of popliteal fossa mass. There is a collapsed Baker's cyst present. The pes anserine tendons are unremarkable. The popliteus muscle and tendon as well as the popliteofibular ligament are also unremarkable. The tibiofibular joint is normal. The patellofemoral joint demonstrates central patellar positioning within the trochlear groove. The retropatellar and trochlear articular cartilage are normal. The medial patellofemoral ligament, medial and lateral retinacula appear intact. The distal quadriceps and patellar tendons are intact and unremarkable. There is physiologic fluid within the deep infrapatellar bursa.

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