Male 22 years old. Reason: r/o fx, surgical complication. History: right knee swelling, s/p patellar tendon repair. Four non-weightbearing views of the right knee demonstrate thickening of the patella tendon, particularly proximally, more so than seen on prior study. There are calcifications in the soft tissues along the inferior margin of the patella. We see no large joint effusion.
Patellar tendon thickening and calcifications along the inferior margin of the patella as described above. These findings may reflect chronic tendinopathy and old post operative changes, however, we cannot exclude a superimposed "acute" partial thickness tear of the patellar tendon proximally. If further imaging is clinically warranted, MRI may be considered.