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hello Seductor gain from first again Mariah and this is a patient born in 1972 who had an ACL tear ACL reconstruction and they have some fullness and pain in the knee and they have several findings but this is just one of them here the interference screw of the femur it pokes a little bit beyond the cortex of the femur into the intercondylar or not so the position is not great and also the ACL graft we can see it coming down here itamp;#39;s a little thick but it looks like it is intact these are always hard to tell theyamp;#39;re intact or not but this and I can see thereamp;#39;s dark signal coming down on the coronal images you can see the same thing so it looks like the graft is intact but the main finding is here in front normally there should be nothing in front here but instead we see the big mound of a gray signal in the central knee joint interior to the ACL and this is what we call our thorough fibrosis this fibrotic response and itamp;#39;s this whole area here and this