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Findings
There is mild swelling and increased PDFS signal within the Hoffa's fat pad located between the proximal patellar tendon and lateral femoral condyle, suggestive of patellar tendon-lateral femoral condyle friction syndrome (Hoffa's fat pad impingement). The suprapatellar / quadriceps fat pad appear normal.
Additionally, mild focal irregularity and fibrosis of Medial patellar retinaculum near its patellar attachment with a small ovoid osseous fragment of size 2-3mm is seen embedded within retinaculum fibers, suggestive of old avulsion fracture.
Diagnosis
Patellar tendon-lateral femoral condyle friction syndrome (Hoffa's fat pad impingement) likely predisposed by pre-existing High-riding patella (patella alta).
Teleradiologyhub FRCR , MD , DNB , MNAMS is a Assistant Professor from with experience of 11-15 years post-graduated from Tata Hospital, Parel. Specialized in Reporting of CT-SCAN , MRI cases with expertise in Neuro-imaging , Spine-imaging , Musculoskeletal , Stroke-imaging
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