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[Music] hi hello welcome back lets discuss an interesting case of 34 year old mill presented with high impact bike accident followed by knee injury here this is the PD fatsat image sagittal plane please note down your findings this is more parasagittal PD fat site images on medial side note on your findings this is coronal PD fat set not on your findings this image more posterior and another image is anterior please note down your findings okay so the first image what is it showing a clear ACL grade 3 injury you can see the anterior medial bundle of ACL is discontinuous and again the posterior lateral bundle also is discontinuous so this is a grade 3 ACL injury which you are able to appreciate here you are able to appreciate the joint diffusion subcutaneous edema and also youre seeing some amount of muscle contusions here and edema posterior also youre able to appreciate in some bone marrow edema most probably pirate ship type of maradima in the medial side paracetyl image you are a