Presentation
Chronic knee pain and swelling.
Patient Data
Age: 55 years
Gender: Male
From the case:
Lipoma arborescens
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- moderate left supra-patellar joint effusion with frond-like synovial masses of fat signal in all pulse sequences
- degenerated articular cartilage with thinning and denudation as well as subchondral degenerative marrow changes with tibio-femoral and patello-femoral osteoarthritis
- degenerated posterior horn medial meniscus with triangular band of increased signal intensity, and meniscal tear
- intact anterior horn medial meniscus and lateral meniscus
- intact cruciate and collateral ligaments
- normal signal and girth of the peri-articular musculature
Case Discussion
Diagnosis:
- lipoma arborescens of the left knee joint with moderate supra-patellar joint effusion
- degenerative joint disease with degenerated posterior horn medial meniscus
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