What's the problem?

A 65 years old female came with complain of left knee pain. Chief Complaints Left knee pain, painful when walking. History Traumatic injury one week ago. Heavy pain feeling on sitting and moving. Vitals Normal study. Physical Examination Inflammation and swelling on left knee joint. Investigations X Ray of left knee AP/LAT. Tag below. Diagnosis Please suggest??? Management Please suggest???

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X ray film quality is very poor.. As no bony involvement is conclusive,go for MRI to access ligamental involvement.

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Xray is exposed on expired film No bony abnormality is seen Soft tissue swelling is noted Adv MRI knee to r/o ligament injuries

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No bony involvement seen Changes of OA seen For ligament injury go for MRI knee

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Obviously no bony lesion seen Symptomatic treatment

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OA changes

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Xray wnl

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Ruta Q 10 drops qid.

No specific bony abnormality seen MRI can b done for further evaluation..

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