Q. Can someone please explain the MRI findings of my right knee after an injury?

Answered by
Dr. Santosh Kumar Bashyal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 04, 2022

Hi doctor,

I am a 52-year-old female with mild OA in my knees. I injured and twisted my knee while walking with a heavy box. I have mentioned the written results of my MRI knee.

MRI right knee:

Indication: Knee instability, pain, and limited range of motion.

Comparison: None.

Technique: Multiplanar and multisequence imaging was performed without intravenous contrast.


Osseous alignment: Normal tricompartmental osteophytic changes worst in the patellofemoral joint.

Bone marrow signal: Subchondral edema in the medial tibial plateau.

Abnormal fluid collections: Small knee effusion.

Medial meniscus: There is a tear in the meniscal body, extending to the inferior articular surface.

Lateral meniscus: Intact and normal in signal intensity.

Cruciate ligaments: Intact and normal in signal intensity.

Collateral ligaments: Intact and normal in signal intensity.

Patellar retinacula and extensor mechanism: Normal.

Articular cartilage:

Patellofemoral joint: Severe thinning of cartilage along the inferior aspect of the lateral patellar facet. Cartilage edema along the medial patellar facet.

Medial compartment: Severe thinning along the weight-bearing portion of the condyle.

Lateral compartment: Preserved.


DJD with patellofemoral and medial compartment predominance.

Medial meniscal tear involving the periphery of the meniscal body.

Small knee effusion.

Kindly help me.



Welcome to

I went through your complaint and MRI (magnetic resonance imaging) findings. I want to make you understand simply. Due to a twisted injury over your knee, you got an injury over the cushion part of the knee, which contains the medial and lateral meniscus. The commonest structure to get damage or tear is the medial meniscus. If you attached the film, I could even know how deep the tear is. But we can also see some dirty water collected inside the joint, which is causing you pain. As you are 52 years old, I would also like to know whether you are a post-menopausal woman or not. Other factors include hormonal changes and erosion of the cartilage, which supports the knee joint. So during friction movement, you get pain; this finding should be from before the injury. Also, the report says you have an injury over the peripheral part of the medial meniscus, so the blood supply area should be preserved.

Hi doctor,

May I know what dirty water is? And what is bone marrow signal: subchondral edema in the medial plateau? I am almost at menopause but still have periods. Unfortunately, I cannot seem to upload the image, but I saw the doctor today.



Welcome back to

I used the phrase dirty water to explain the mechanism of twisting injury and tear in the medial meniscus that causes micro hemorrhage (small amount of blood collected in the joint space of the knee) and results in pain. The medial plateau means the prominent head structure of the tibia, like Mount Everest, where the medial meniscus and anterior cruciate ligament (ACL) are inserted. But other structures, such as the anterior cruciate ligament and posterior cruciate ligament (PCL), are fine, according to the reports. This edema means the presence of swelling and some dirty fluid present over that structure which causes pain during movement (flexion). I hope you understand. As you are near menopausal, I suggest you take care of your bone cartilage and hormonal status. In addition, I would suggest you take a bone mineral density test (BMD) to know the density of bone and to know whether you are at risk of osteoporosis or not. May I know what did your doctor suggest to you today?

Hi doctor,

Thank you. How do I get rid of dirty water, or does it resolve on its own in time? I saw the doctor later today, and asked me to get a BMD test.



Welcome back to

Yes, sometimes it gets healed with a natural blood system. But I suggest you wear a knee hinge brace. Then, according to your capacity and pain, you can increase the movement in flexion. I also suggest you take the following medications:

1. Tablet Serratiopeptidase three times a day for one week (it reduces the inflammatory reaction in your knee due to medial meniscus injury, edema, and dirty fluid).

2. Collagen, Hyaluronic acid, Zinc supplement, and Vitamin D3 supplement for at least one month; we can extend it up to three months depending upon your condition (it will reduce your edema and inflammatory response in your knee).

I also suggest you do quads and calf muscle gentle strengthening exercises. So gradually, it will get healed.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Do you think that my doctor's suggestion is right regarding my DVT and knee injury?

.. gone through your query and would like to give replies to your queries accordingly. The issue is that you have a concomitant knee ACL (anterior cruciate ligament) and MCL (medial collateral ligament) injury for which a surgical procedure will be r...   Read full

Please explain the MRI done for knee injury.

.. the findings which you have written shows that there is some injury to your knee and in turn body reactions. Usually, it is difficult to assess about ligaments in MRI of fresh trauma because of too much edema. So, basically, we rely on patients sy...   Read full

Why do I get sharp stabbing pain inside the bone?

.. mentioned that you sustained an ankle fracture around four years ago and now you have persistent symptoms in the same ankle joint. I actually need to know the details of your fracture and what management was done at that time. Also right now apar...   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Listeriosis - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Listeriosis is a bacterial infection, that can result in severe complications like meningitis, sepsis, and even death. R...  Read more»
Myositis - Types, Symptoms, Causes, Treatment, and Prognosis
The term "myositis" refers to a set of uncommon diseases. To know more about myositis, read the full article below.  Read more»
Osteoporosis: an Important Public Health Problem
Osteoporosis is a problem that is largely preventable. This article focuses on the causes of osteoporosis and the availa...  Read more»

Ask your health query to a doctor online?

Ask an Orthopaedician & Traumatologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.