Complex tear of posterior horn of medial meniscus with grade III signal(abnormal hyperintensity extends to at least one articular surface),multiple small flaps and a predominant vertical component reaching tibial articular surface. Possible extension of tear upto femoral articular surface also seen.

Mild loss of articular cartilage along medial tibial condyle with subtle subchondral marrow edema.

Grade IV chondromalacia along medial articular facet and ridge of patella.

Mild hyperintensity in Hoffa’s fat pad – needs clinical correlation for Hoffa’s fat pad impingement.