A wide variety of masses may be visualized in the posterior knee. Some
are encountered incidentally on MRI obtained for seemingly unrelated
symptoms; others are palpable and present for MRI characterization. We
describe the appearance, significance and pathophysiology of some of
the most common lesions found in the popliteal fossa as well as severa
l of the less common entities we have encountered. Thorough understand
ing of the appearance and location of the more specific masses should
augment precise diagnosis in a majority of cases. In turn, this will e
liminate unnecessary additional investigations and enable prompt and a
ppropriate treatment.