17 year old. It’s definitely more common to have a frank ACL rupture rather than on avulsion of the tibial eminence in this age group but not all patients “read the textbooks”. Good example of lipohemarthrosis which you can seen on both the coronal T1-weighted images and on the axial T2 fat saturated images.
This is devilishly hard to see on the XR and given away mainly by the large lipohemarthrosis..
This Tubal Clip decided to go on a open jaw trip of the abdomen, before settling in the omentum. Home sweet omentum! Who could blame it? Beats hanging out in the pelvis with all that physiologic fluid, or in this case, the ascending UTI and right Pyelonephritis.