Gross patella alta with articulation of the patellar tendon (rather than the patella) with a shallow femoral trochlea leading to patellar tendinopathy (abnormal T2 signal). Insall-Salvati index of 1.7. Caton-Deschamps index of 1.8. Abnormal T2 signal is also seen in the medial femoral condyle due to direct traumatic impact leading to "bone bruising".