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hi everyone Im dr. M McNish considered radiologist welcome to my channel shades of radiology today I am going to discuss an interesting musculoskeletal case we got a 30 year old male patient who had chronic knee pain and the clinician was advised M our knee joint for further evaluation so here we are going to see the images is a midsagittal t2-weighted image at the level of ACL you can see thickening of ACL multiple small cystic areas along the posterior aspect of aunt Arushi 8 ligament and there was a minimal fluid within the patellofemoral joint space and suprapatellar braces coming to pd fat site image can clearly appreciate the ACL fibers which are splitted up and slightly separated by hyper-intense thin strip of fluid in between the ACL fibers with a lobulated cystic lesion along the posterior aspect of anti cruciate ligament and these are the coronal t2-weighted image again showing a similar cystic structure at the site of attachment of ACL along the medial aspect of lateral fe