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There is a horizontal cleavage type tear in the medial meniscus. ACL contour is disrupted with a change in the orientation, representing ACL complete tear.
There is mild fluid accumulation around the MCL representing MCL injury.
There is moderte joint effusion.
Note the characteristic bone marrow contusion in the posterolateral tibial plateu and lateral femoral condyle. If the impaction in the lateral femoral sulcus exceeded 2mm, it would represent femoral notch sign which is highly suggestive of ACL injury.