Peri-ligamentous and peri-tendinous intermediate PD signal material seen in association with the popliteus tendon, the cruciate ligaments, deep proximal aspect of the MCL and lateral superficial aspect of the quadriceps tendon. This is typical of periarticular gout. A non-displaced horizontal tear of the medial meniscal posterior horn is also identified extending to the tibial surface. Small to moderate knee joint effusion.