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Please refer to normal lower limb imaging examples for further similar normal studies and to knee radiograph approach article for a quick review on how to interpret these images. Learn how to distinguish between a normal and a bad knee X-ray and what they reveal about your knee health. A normal X-ray shows well-aligned bones, clear joint space, and no signs of injury or disease, while a bad X-ray may indicate arthritis, fractures, or other pathologies. Normal AP and lateral knee radiographs in an adult male for reference. There mild or borderline patella alta. Nice example of the normal fat within the supra-patella recess region without a joint effusion evident. Normal pre-patella soft-tissue a... Learning radiology of knee injury covering fractures of the tibia and patella - Lower limb X-rays - Knee fractures as seen on X-ray, Fractures of the tibial plateau. Patella fracture - X-ray appearances. Lipohaemarthrosis x-ray appearances. Knee joint effusion with haemarthrosis.