History of ACL reconstruction and meniscal repair now with knee pain. Evaluation somewhat limited by patient motion artifact.MENISCI: There is abnormal, irregular increased signal intensity within the medial meniscus at the junction of the body and the posterior horn that extends to the tibial articular surface. This signal abnormality is more pronounced on the current study than on the prior exam and is suggestive of a tear. Furthermore, both the body and posterior horn of the medial meniscus appear attenuated on the current exam compared to the prior exam suggesting chronic attritional tearing in the absence of prior meniscectomy. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: Postsurgical changes of prior ACL repair are present. There is mild edema within the posterior aspect of the medial tibial plateau with what appears to be mild loss of the overlying articular cartilage. The articular cartilage of the medial compartment is otherwise intact. There is also edema within the posterior aspect of the lateral tibial plateau which may represent bone contusion. The articular cartilage of the lateral compartment appears intact. The articular cartilage of the patellofemoral compartment appears intact.LIGAMENTS: The ACL graft is not well visualized on the sagittal images suggestive of near-complete or complete tear. The PCL appears intact. The collateral ligaments are intact. EXTENSOR MECHANISM: The extensor mechanism is intact.ADDITIONAL
1.Complete or near-complete tear of the ACL graft.2.Findings suggestive of new tear or re-tear of the medial meniscus.3.Other findings as described above.