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hello this is dr gary from first like mri and this is a 41 year old male who had an acl tear he had a repair they put an acl graft and the acl graft goes obliquely here from the back of the femur to the front of the tibia and the graft should be a nice big dark band coming obliquely like this but instead we donamp;#39;t see a dark band we see this gray material so this looks like a re-tear of that acl graph sometimes itamp;#39;ll take part of the patellar tendon here that comes off the kneecap down to the tibial theyamp;#39;ll take that out and put it in but this patellar tendon looks pristine so it does not look like theyamp;#39;ve used that as a graft sometimes theyamp;#39;ll take a tendon up here the quadriceps or other tendons and sometimes theyamp;#39;ll use a catabaric acl but in this case they graft whatever they put in there is re-torn we just see this gray signal here thereamp;#39;s a couple other interesting things in this patient up here thereamp;#39;s a round area o