MRI
The MRI sequences demonstrate a focal area of high signal on PD fat sat (oedema) installed the inferolateral aspect of the patellofemoral joint, within the superolateral portion of Hoffa's fat pad. The Install-Salvati ratio was at 1.45 (patella Alta).
The lateral meniscus shows a double anterior horn / flipped meniscus, indicating a bucket-handle tear. A small popliteal cyst is noted. No significant joint effusion is seen.