OpenHealth Q&A

Get answered by medical professionals

MRI Analysis of Right Knee Pain

8/10/2025, 7:20:22 PMMale25-34

For a few months now, I've been experiencing discomfort in my right knee, specifically on the medial aspect. Recently, I've noticed a protrusion on this same side when I move my knee. To alleviate the sensation, I often have to rotate my knee slightly to push the bulge back into position. In response to my symptoms, I underwent an MRI, and I have translated the findings below from Greek, as I reside in Greece. What insights can be drawn from my MRI results? **MRI Findings:** - There is a complex tear located at the edge of the posterior horn of the medial meniscus, which extends to the junction between the meniscus and the capsule. - A small amount of joint fluid is present, indicating minimal effusion. - The fat pad anterior to the patellar tendon is swollen, particularly where it attaches to the lower part of the patella. - The articular cartilage of the patella shows no significant abnormalities. - The cruciate and collateral ligaments, along with the patellar tendon, are intact; however, findings suggest a Grade I sprain of the medial collateral ligament, characterized by fiber stretching without rupture, accompanied by a smooth swelling along its length. - There are no indications of bone marrow edema. - A small volume of fluid is present at the mucous fold of the infrapatellar fat pad, located toward the posterior medial aspect of the joint.

ArthritisInternal MedicineRheumatology

Answers (1)

Cony

8/10/2025, 7:20:42 PM

OpenHealth AI

Your MRI results indicate some issues in your right knee, particularly with the medial meniscus and a mild sprain of the medial collateral ligament (MCL). Here are the key points from the findings and what you might consider doing next.

Main Points from MRI:

  1. Medial Meniscus Tear: You have a complex tear in the medial meniscus, which can lead to pain and instability.
  2. Joint Effusion: There’s a small amount of fluid, indicating some inflammation or irritation.
  3. MCL Sprain: You have a Grade I sprain of the MCL, meaning there is slight stretching but no complete tear.
  4. Fat Pad Swelling: Swelling at the fat pad suggests additional irritation but no significant damage to the surrounding structures, like the cartilage.

Explanation:

  • The medial meniscus is a C-shaped cartilage that helps cushion the joint. A complex tear can often lead to pain and reduced mobility. Common symptoms include a "catching" sensation or swelling.
  • Joint effusion implies some inflammation, which is often a response to stress or injury.
  • A Grade I MCL sprain means that while the ligament is stretched, it remains intact, allowing for some recovery with proper care.
  • The anterior fat pad swelling can indicate irritation, commonly seen in conditions like knee impingement or patellar tendinopathy.

Next Steps:

  1. Activity Modification: Reduce activities that put strain on your knee, such as running or squatting, to avoid aggravation. Focus on low-impact exercises like swimming or cycling.

  2. Rest and Ice: Initially, rest your knee and apply ice for 15-20 minutes every couple of hours. This can help reduce inflammation and pain.

  3. Compression and Elevation: Use a knee brace or wrap for support, and elevate your knee whenever possible to minimize swelling.

  4. Gentle Range of Motion Exercises: Once you can tolerate it, begin gentle range-of-motion exercises to maintain flexibility. Avoid any movements that cause pain.

  5. Consult Healthcare Provider: If symptoms persist or worsen (especially if you begin to experience locking of the knee, significant swelling, or severe pain), consulting with a healthcare provider or a physical therapist could be beneficial. They can provide targeted rehabilitation exercises or assess if surgical intervention might be necessary, given the complexity of the meniscus tear.

Feel free to reach out for more detailed advice or clarification on any steps! Take care of your knee, and remember that gradual recovery is key.

Related Questions

Blood in Urine: Seeking Guidance

A 20-year-old female weighing 140 pounds has not been taking any medications or supplements, and has no prior or current medical conditions. Her menstrual cycle last occurred two weeks ago. While at work, she observed blood in her urine, which appeared light red but darker than pink. Accompanying this symptom, she has experienced some abdominal discomfort. Notably, there was no evidence of blood on her underwear, only when she urinated. Additionally, she felt a moment of lightheadedness upon noticing the blood, which has since subsided; she attributes this feeling to her anxiety about the potential seriousness of the situation. Given these symptoms, what could be the likely cause? She is uncertain whether to visit the emergency room or to wait until urgent care is available tomorrow for a consultation. As she recently relocated and does not have a primary care physician yet, her anxiety is heightened.

LupusInternal MedicineEndocrinology
Male25-34
35 minutes ago

Exploring Endolymphatic Hydrops: Could This Be My Condition?

34 years old / Female Current weight: 165 lbs Navigating the challenges of motherhood In early December 2025, I caught a cold. By mid-December, my right ear felt blocked, but I attributed it to the cold virus. As New Year approached, I experienced another cold, which coincided with an onset of ringing in my ears. Disturbingly, sounds started to seem altered from the affected ear, accompanied by a persistent fullness in that area. Additionally, I noticed twitching of my eye and swelling in the salivary gland on the same side. My primary care physician prescribed a decongestant and Flonase; however, because I am currently breastfeeding, I hesitated to take the medications as directed. On January 27, I was evaluated by an ear, nose, and throat specialist, who requested a hearing assessment the following day. The results indicated that I had sensorineural hearing loss affecting my low-frequency hearing range (250 Hz to 500 Hz). The doctor prescribed a steroid with the hope of addressing the issue promptly. Now on day 10 of steroid treatment, I have experienced significant relief. Remarkably, I've noticed a substantial amount of thick, putty-like mucus clearing from my nasal passages. The pressure in my ear has subsided, and sounds are returning to normal, though I still perceive a slight ringing — possibly just a touch of hearing loss remains. What concerns me is whether ongoing sinus congestion could be the root of these symptoms or if I might genuinely be dealing with endolymphatic hydrops. Notably, I have not experienced any episodes of dizziness. In the evenings, I tend to feel considerable pressure building on the right side of my head, almost as if my sinuses are becoming blocked once more. I would greatly appreciate any insights or advice on this matter, as I find myself in a state of uncertainty regarding my condition.

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
45 minutes ago

Experiencing Occasional Hematuria: Seeking Guidance

Greetings, medical professionals. I appreciate your assistance with the following situation. **Patient Overview:** - **Age:** 47 - **Gender:** Male - **Height:** 6 feet - **Weight:** 202 pounds **Symptoms Overview:** Approximately three months ago, I began to observe small traces of blood in my urine. It's a minimal amount, usually just a couple of drops occurring at the end of urination. I do not suffer from any pain, fever, chills, or urinary difficulties. Initially, I suspected that this could be linked to kidney stones or exercise-induced hematuria, as I maintain a rigorous exercise routine spanning two hours daily, seven days a week. My workouts alternate between strength training 3-4 times a week and cardio exercises, including rowing, treadmill use, the elliptical, stair climbing, and jump rope. After several weeks, I also observed tiny tissue-like fragments in my urine, prompting me to consult a doctor, as I suspected a urinary tract infection. Although I have an enlarged prostate, my physician considered it a benign issue, attributing the swelling to the potential chain reaction of a UTI leading to bladder infection and subsequently causing prostate inflammation. **Diagnostic Tests and Outcomes:** I underwent a comprehensive metabolic panel, which included tests for glucose, BUN, creatinine, and various electrolytes. All results fell within normal ranges, with the exception of a low BUN/creatinine ratio (8). Additionally, I received a Creatine Kinase (CPK) test, which returned normal results. A complete blood count (CBC) with differential was conducted, showing all parameters, including WBC, RBC, and hemoglobin, to be normal. Urinalysis reflected negative findings for GLU, BLO, NIT, and LEU. However, it indicated a small amount of bilirubin, a ketone level of 15, a specific gravity of 1.025, a pH of 5.5, and a protein level at 30. Uric acid levels were 8.1, within normal limits, though an inflammatory marker was mildly elevated. A sedimentation rate (Westergren) displayed a slight elevation at 19 (normal range is up to 15). A CT scan of the abdomen and pelvis with contrast yielded several findings: - **Lung Bases:** A few small pulmonary micronodules were noted, but otherwise clear. - **Liver, Spleen, and Pancreas:** All appeared normal without lesions. - **Kidneys:** Normal with no stones or masses. - **GI Tract:** The stomach was mildly distended, but otherwise normal with stool presence noted in the colon. - **Pelvis and Vascular Structures:** Solid organs and vessels appeared normal. - **Other Findings:** Prominent inguinal lymph nodes were potentially reactive, alongside a small left inguinal hernia. **Follow-Up Treatment:** Following these evaluations, my physician prescribed sulfamethoxazole for a duration of 28 days. I adhered to the regimen fully, and while undergoing treatment, all symptoms subsided completely. However, this occurred about a month ago, concluding in late December. **Current Situation:** This evening, after my workout, I noticed the return of blood traces in my urine. While I do not experience pain, I have difficulty with bowel movements, feeling persistently constipated regardless of food intake. This change coincided with a mild tearing sensation during exercise on the adductor machine. Additionally, I have developed a reddish rash on both arms, which had resolved during the antibiotic treatment but has now reappeared. Previously, this rash was effectively treated with prednisone, leaving me unsure if this is connected to my earlier symptoms. **Concerns:** I worry that standard medical tests might overlook a significant issue affecting my prostate, colon, or urinary system. My insurance policy does not cover colonoscopy or prostate evaluation, and I have been advised to consider these procedures, though they would cost nearly $7,000 out of pocket. While I understand the necessity of these assessments if needed, I prefer to seek a second opinion before committing to such expenses. It's important to note that there is a family history of cancer, primarily lung cancer. I welcome any advice or insight into my case and will provide any additional details you may require.

Crohn's DiseaseThyroid DisordersRheumatology
Male25-34
45 minutes ago

Gene Testing Outcomes Suggest Elevated Risk for MPN

A 27-year-old male of Irish heritage recently conducted a commercial gene analysis, and here are the findings: - **Rs12340895 (C;G)** Result Interpretation: "Doubles the likelihood of developing V617F-positive MPN." - **Rs3780374 (A;G)** Result Interpretation: "Significantly raises the probability of V617F-positive MPN manifestation." Based on my research, it appears that having these two genetic markers indicates a strong predisposition to this particular form of cancer. What steps should I consider taking to either prepare for or potentially postpone the onset of this condition? Should I discuss these findings with my healthcare provider? My studies suggest there isn’t a definitive cure for this condition.

Multiple SclerosisInternal MedicineEndocrinology
Male25-34
45 minutes ago

Understanding Preseptal Cellulitis in Children

Hello everyone. I'm reaching out for assistance. My 6-year-old son recently experienced a concerning issue. He woke up on Friday with significant swelling around his eye, nearly closing it entirely. We quickly took him to the emergency room, where doctors diagnosed him with preseptal cellulitis. They prescribed antibiotics, specifically cephalosporin, as part of his treatment. However, after approximately 30 hours on the medication, I’ve noticed that his condition seems to have deteriorated. We’ve been applying warm compresses, which help reduce some swelling temporarily, but he now has a noticeable bump right in the center of the affected area. This morning, he woke up again with his eye completely shut. I’m uncertain whether I should return to the ER for further evaluation. I appreciate any advice or insights you can provide. Thank you!

Internal MedicineRheumatology
Male25-34
45 minutes ago