Known case of hemophilia A, presented with left knee swelling and pain.
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There is significant knee joint effusion, distending the suprapatellar bursa, appears heterogeneously hyperintense in PD sequences with septa.
Diffuse synovial thickening and enhancement on T1 post-contrast images, with hypointensity/siderosis on T2_fl2d sequences.
Cartilage loss and erosions in both articular surfaces, and in patella posteriorly.