Knee joint effusion on X‑ray: 6 real cases

Real, openly licensed radiographs showing knee joint effusion. Study what to look for, then open each case and read it yourself before revealing the answer.

What to look for

  • On the lateral view, soft-tissue density distends the suprapatellar recess between the quadriceps fat pad and the prefemoral fat pad.
  • In trauma, a fat–fluid level on a horizontal-beam lateral (lipohaemarthrosis) implies an intra-articular fracture.
  • Effusion alone is non-specific.

Learn: Knee fractures

Quiz yourself on lower limb images

Cases

Other lower limb diagnoses

Diagnoses come from each image's documented source. Credits and licences are shown on each case and on the image credits page.