Possible symptomatic mediopatellar plica-MRI

This is a 35 year male with pain in the knee with no trauma. Evidence of thickened mediopatellar plica noted as thickened cord in the retropatellar & suprapatellar bursa with localized collection/synovial thickening anterior to it, seen as hypointense on T1 and T2 weighted images, hyperintense on STIR images.  Findings may indicate mediopatellar plica syndrome with associated synovitis. Hypointense signal on T2 weighted image within the thickened synvoium may also indicate a differentials showing chronic blood products including Pigmented villonodular synovitis etc. Case submitted by Dr Sumer Sethi & Dr Ajay Garg, Radiologists.