 Good morning. I am Dr. Monika doing my second year residency from Katori Medical College, Guntur in Andhra. So, the title of my paper is MRI evaluation of internal derangement of traumatic knee injuries. Coming to the introduction, internal derangement of knee is a very broad term which is used for all soft tissue pathologies. Among these, arthroscopy is considered as a gold standard for evaluation of knee injury, but the accuracy entirely varies which here depends on the experience of the examiner and also one disadvantage is intra-substance test cannot be evaluated in arthroscopy. So, MRI provides excellent soft tissue contrast and it is capable of evaluating the soft tissue and the bony structures in multiple planes which provide significant advantages. Coming to the aims and objectives, my first thing is to do the effectiveness of MRI in assessing and diagnosing post-traumatic knee joint and to determine the frequency of various ligamentous meniscal injuries in post-traumatic knee joint. The materials and methods which I used, it is a hospital-based observational prospective study conducted in our hospital. My sample was 48 patients with a history of contact and non-contact knee trauma which are followed by the knee pain and difficulty in organ. The methodology which I used was 1.5 Tesla Phillips MRI machine. FSC sequences with the fat suppression MRI technique was used, it improved the sensitivity and specificity in detection of ligaments. The results which I obtained were out of 48 patients which were included in my study, 44 had positive findings. In this, the most common ligament injury identified was ACL. Among this, the complete tests are more common followed by the partial low grade test and later the grade 1 sprain. After ACL, medial meniscus was most commonly identified in Jude ligament. Most of the patients had accompanied bony contusions and joint effusions. So, this is the table which showed an ACL ligament in 23 cases, medial meniscus in 22 cases and these topped the ligament injuries. So, this is the statistical analysis showing highest in Jude ligaments were ACL and medial meniscus with 23 to 37.7% of ACL and 22 to 36.1% of medial meniscus. Later MCL and PCL were listed. This is the images of the patients. This is a pdfadsat image showing complete grade 3 tear of ACL noted with a non-visualization of the femoral attachment. This is the other image, pdfadsat's ashtray image of 33-year-old male patient. It showed a complete grade 3 tear of PCL at femoral attachment. So, this showing horizontal grade 1 tear of medial meniscus in its posterior horn without involving articular surfaces. In this, there is a complex there in the posterior horn of medial meniscus. Coming to the discussion part, on MRA, it is not just identification of different ligament and meniscal injuries, but it is also helpful in grading of the injuries. Based on this grading, the management can be planned. Coming to the cruciate ligaments, anterior cruciate ligaments and posterior cruciate ligaments are graded as complete and partial, whereas meniscus injuries classified into three grades of abnormal signal intensity. In my study, complete SLTS were most common. Coming to the conclusion, MRA is extremely useful and it has a superior imaging modality for evaluation of knee injuries due to its excellent soft tissue contrast and multi-planar imaging. It provides valuable information for the or the petition to plan the mode of treatment and avoid unnecessary surgical intervention. Patients on conservative management can be followed up with serial MRA imaging.