Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Orthopedic
Sample Name: MRI Knee - 3

Description: MRI left knee.
(Medical Transcription Sample Report)

EXAM:MRI LEFT KNEE

CLINICAL:This is a 41 -year-old-male with knee pain, mobility loss and swelling. The patient had a twisting injury one week ago on 8/5/05. The examination was performed on 8/10/05

FINDINGS:
There is intrasubstance degeneration within the medial meniscus without a discrete surfacing tear.

There is intrasubstance degeneration within the lateral meniscus, and there is a probable small tear in the anterior horn along the undersurface at the meniscal root.

There is an interstitial sprain/partial tear of the anterior cruciate ligament. There is no complete tear or discontinuity, and the ligament has a celery stick appearance.

Normal posterior cruciate ligament.

Normal medial collateral ligament.

There is a sprain of the femoral attachment of the fibular collateral ligament, without complete tear or discontinuity. The fibular attachment is intact.

Normal biceps femoris tendon, popliteus tendon and iliotibial band.

Normal quadriceps and patellar tendons.

There are no fractures.

There is arthrosis, with high-grade changes in the patellofemoral compartment, particularly along the midline patellar ridge and lateral facet. There are milder changes within the medial femorotibial compartments. There are subcortical cystic changes subjacent to the tibial spine, which appear chronic.

There is a joint effusion. There is synovial thickening.

IMPRESSION:
Probable small tear in the anterior horn of the lateral meniscus at the meniscal root.

Interstitial sprain/partial tear of the anterior cruciate ligament.

Arthrosis, joint effusion and synovial hypertrophy.

There are several areas of focal prominent medullary fat within the medial and lateral femoral condyles.

Keywords: orthopedic, mri left knee, interstitial sprain/partial tear, anterior cruciate ligament, lateral meniscus, cruciate ligament, synovial, mri, meniscus, sprain/partial, cruciate, knee, ligament,
NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples