39-year-old female with left knee pain. Medial joint line pain after ACL reconstruction. Patient motion artifact limits examination.MENISCI: The medial meniscus appears intact. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: There are tricompartmental osteophytes. No full-thickness or near full-thickness articular cartilage defects are identified. There is partial-thickness articular cartilage degeneration along the lateral facet of the femoral trochlea.LIGAMENTS: Note is made of postsurgical changes of prior ACL graft repair. The mid substance and distal fibers of the ACL graft are indistinct suggesting graft disruption. The PCL appears intact. The MCL and LCL appear intact. EXTENSOR MECHANISM: The quadriceps tendon appears intact. Note is made of postsurgical changes within the patellar tendon likely reflecting graft harvesting for the aforementioned ACL repair. The patellar tendon appears intact.ADDITIONAL
1. Disruption of the mid substance and distal fibers of the ACL graft reconstruction.2. Small knee joint effusion.3. Osteoarthritic changes of the knee.