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this is a 15 year old female she had a volleyball injury evaluate for anterior cruciate ligament tear Im going to go 3 up you can go 2 up if you wish Im gonna pull down my axial my coronal and my sagittal water weighted sequences now if Im after patella femoral disease I prefer an axial gradient echo with fat suppression very often Ill use a t1 gradient echo with that suppression but for my garden-variety knee high quality high resolution t2 weighted imaging is just fine t2 imaging is there to help you with injury dating no I dont mean Cupid comm I mean dating is it old is it new is it subacute so it is not a detection sequence is a refinement sequence now the fat suppression t2 pretty good but not my not my first choice for detection my first choice for detection is the proton density fat suppression which is on the far right this is my detection sequence and I prefer to have a te of 40 Ts a little too short here T shouldnt go below 40 or above 50 in a PD fat suppression spur s