Coronal T2-weighted MRI with fat saturation. (a, b, d, e, f) right knee; (c) left knee. (a, c, d) Note fluid superficially and deep to the deep meniscofemoral ligament injured (orange arrow) accompanying an anterior cruciate ligament (ACL) rupture. (b) Typical MRI bone edema (orange arrow) at the medial femoral condyle adjacent to the deep MCL (dMCL) attachment site. (e) Distal grade III medial collateral ligament (MCL) rupture (black arrow) concomitant with deep MCL tear (orange arrow) and ACL rupture. (f) Midportion grade III MCL tear (orange arrow) with concomitant deep MCL tear and ACL rupture.