There is no osteochondral lesion
There is no evidence of popliteal cyst
There is no evidence of chondromalacia patella
His articular cartialge appears intact and best of all
Thomas's Hoffa's fat appears normal (Rob, aren't you glad!)
Now for the bad news:
There is a very small peripheral tear not extending to articular surface in the posterior horn medial meniscus. There is also marrow edema in the posterior medial tibial plateau without fracture. Bone contusion suspected.
What that means:
Thomas has to see a knee surgeon to determine whether the meniscal tear warrants surgery or can be treated more conservatively with a brace. We go next Tuesday. Meanwhile, he's wearing a brace to stabilize his knee and going to the Daughtry concert in Greensboro tonight with friends. (Don't worry, he's not driving - a friend's mom is). Stay tuned for more on the knee next week!
PS...I'm very glad for a wonderful doctor who patiently and carefully explains all the medical lingo. I'm learning a lot about knees!