22-year-old female. Knee pain status post ACL reconstruction x 2. MENISCI: Medial and lateral menisci are intact without evidence of a tear.ARTICULAR CARTILAGE AND BONE: Mild marrow edema in the posterior tibial plateau and the femoral condyles, likely representing contusions. New small area of femoral trochlea cartilage high signal abnormality and mild fraying without a full thickness defect. No full thickness cartilaginous defects are identified in the tibiofemoral compartment.LIGAMENTS: Post-surgical findings of ACL repair. Complete disruption of the graft consistent with a full thickness tear. PCL, MCL, and LCL are intact.EXTENSOR MECHANISM: No significant abnormality noted.ADDITIONAL
1. Full thickness tear of the ACL graft. Large knee joint effusion.2. Small area of chondromalacia of the femoral trochlea cartilage with surface fraying.