 Hello, Myself Dr. Nidhi Ajay Mandana, 2nd year junior resident at Doctoral Hospital Medical College and Hospital, Jalga. Today, my topic for paper presentation is to study the role of magnetic resonance imaging in knee injuries. Introduction. The knee joint is major weight bearing and largest joint that provides mobility and stability during weight bearing and physical activities. Due to wide range of its function exposed to various forces beyond its physiological range and therefore bone and soft tissue of knee joint are at risk of injuries. Accurate evaluation for knee joint injuries is very crucial for proper management and outcome. Aim and Objectives. To study MRI findings in knee injury to correlate with clinical findings and other radiological investigations and arthroscopic findings whenever performed. Materials and Method. The study was conducted in Department of Radiodiagnosis of Doctoral Hospital Medical College and Hospital, Jalga Maharashtra. The study was done in 100 patient presenting referred for knee injuries to patient of Department of Radiodiagnosis for MRI imaging. MRI scans were carried out on 1.5 Tesla Siemens MRI machine. The following MRI protocol sequence obtained was T1 and T2 weighted sequence in sagittal plane proton density, weighted sequence in axial coronal sagittal plane and fat suppressed T2 or STER sequence whenever indicated. These were examined in supine position with knee extension and slight external rotation 10 to 15 degree in an extremity coil for optimization of signal to the noise ratio. Inclusion Criteria. Patient who gave informed consent to be the part of the study patient with the history of trauma to the knee. Exclusion Criteria. Patient who refused to participate in the study. Children below 18 years. Patient with contraindications to MRI imaging like patient with cardiac base maker ferromagnetic implants. These are T1, T2 weighted images in sagittal plane showing partial tears in ACL anterior cruciate ligament with great three tears in both horns and body of the middle meniscus. These are T1 and STER images in coronal plane showing horizontal tears in posterior horns of both meniscus. Observation Distribution of the patient according to the knee pathology. These are like anterior cruciate ligament injuries, posterior cruciate ligament injuries, meniscal injuries, collateral ligament injuries, bony injuries, joint effusion. So the ACL tier was noted in 21 patient, PCL tier in 5 patients, meniscus tier in 30 patients, collateral ligament tier in 7 patients, bone injury in 25 patients and joint effusion was noted in 40 patients. MRI analysis of the meniscal injury. So according to this pie chart, the middle meniscal injuries were more than lateral and then both meniscus were included. Distribution of the meniscal tier on the part of the meniscus. So the posterior part of the meniscus was most commonly involved in the entry and then body. Discussion Tier was the commonest pathology affecting the ACL most being acute in nature. The incidence of the PCL pathology in a study was 10% which is comparable to the 5.78% incidence reported by the Singh JP et al. Partial PCL tier was the commonest PCL pathology in our study which was in accordance with the reported literature. One third of our patient had bone contusion which compares well with the existing literature. TBR was more commonly involved than femur by contusion and lateral femur contile was involved more frequently than its medial counterpart. Our results are in agreement with the existing literature. Acute ACL tier was usually associated with bone contusion in our study similar association what is reported in previous studies as well. Grade 2 was the commonest meniscal tier in our study with contrast with the results of Argyugam et al. who reported grade 3 as the commonest grade of meniscal tier. Vertical tier were found to be the commonest type of the meniscal tier. This contrast with the previous finding of horizontal tier being the commonest meniscal tier by the Pasupatuli b et al. By all the vertical tiers in our study were associated with a history of trauma reported literature also described vertical tier as being traumatic in nature. Only one patient in our study had a bucket handle tier involving the medial meniscare. Literature also reports the most of the bucket handle tier involved the medial meniscus. Conclusion MRI evaluation in the patient with painful knee is of important as MRI can demonstrate the exact nature and extent of the body as well as soft tissue abnormality. It can potentially replace other imaging modalities like x-ray and CT scan for the radiological evaluation of a painful knee and is helpful in clinical decision making. Multiplanar imaging capacity and non-invasive nature of MRI enable a satisfactory diagnosis in such patient in whom a complete clinical examination is almost impossible due to pain. These are my references. Thank you.