Introduction: Ligaments being the most important supporting structures injuries of ligaments and menisci are extremely common especially in active individuals like athletes. However ligament injury of knee in young due to trauma could lead to morbidity. It is an important reason for undergoing MR evaluation and assist in further arthroscopy and management. The present study was conducted among referred cases of acute painful knee for radiological evaluation, in order to study their MRI findings and its correlation with clinical presentations. Material and methods:The present study was conducted among 135 cases of acute knee injury, referred for radiological evaluation in the Department of Radiology at Krishna Medical College, KIMS, Karad. All the cases of acute knee injury consenting to participate in the study were included in the present study. These cases of acute knee injuries referred for radiological evaluation were assessed, examined and posted for MRI examination for diagnostic workup of the case. The data was collected using case record proforma. Results:In the present study we evaluated the referred cases of acute knee injury using magnetic resonance imaging technique to find out the exact pathology. We found 41.18% cases presented with anterior cruciate ligament tears followed by medial meniscus injury among 37.77% cases.Conclusion: MRI has been evolved as a diagnostic modality of choice in diagnosing various conditions causing acute painful knee such as ligament tears and meniscal tears etc.