After reviewing your MRI (magnetic resonance imaging) images (attachments removed to protect the patient's identity), I would like to make the following comments:
As you have mentioned, there are changes in post-anterior cruciate ligament reconstruction and tear in the posterior horn of the medial meniscus.
There is minimal fluid and a gap between the lateral wall of the intercondylar notch and the posterior lateral bundle of the anterior cruciate ligament. Therefore, it is likely suspicious for a mild chronic partial tear of the posterior lateral bundle of the anterior cruciate ligament. However, it is a subjective finding and needs to be confirmed clinically. Knowing your left knee's previous clinical history and symptoms will be helpful. The medial and lateral meniscus and the rest of the left knee structures do not show any significant abnormalities.
Hope this helps.
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