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hello this is Dr Gay from first second MRI this is a 56 year old male who has history of Prior ACL spraying and some black seed of the knee and he comes in for an MRI and this is the original MRI that was done five years ago we see the femur up high here we see the kneecap in the front we just hit a limited examination on him in the original one he has a little bit of bone marrow edema here with the patellar tendon attaches he had an injury here and the aecl comes obliquely from the back of the femur here to the front of the tibia hereamp;#39;s the tibia so this is the ACL and this original exam we see the a cell was not ruptured but the proximal portion near the femur was enlarged foggy thereamp;#39;s a little bit of laxity normally normally this would be more vertically oriented here was more horizontal here and then it went vertical so he had a mild or mild moderate sprain of the ACL previously also in this prior examination we notice if you draw a line from the back of the femur