Magnetic resonance (MR) imaging is a commonly used tool when evaluating patients with acute knee injury or chronic knee pain. Although it has shown excellent accuracy in diagnosing knee pathology, there remain many potential pitfalls and missed lesions. These can be secondary to inherent technical limitations or artifacts related to MR. Also subtle pathology can be overlooked, and anatomic structures and associated variants can be misinterpreted as tears. In this article, we will review some of the more common misses or pitfalls that occur in the setting of sport-related injuries.