Image Interpretation: In the transverse view, there is a Bakers cyst present between the semimembranousus and medial gastrocnemius tendons.
Teaching Pearl: Bakers cysts are common findings and arise between the distal semimembranosus and proximal medial gastrocnemius tendons, representing leakage of fluid from the joint space via a valvular opening of the posterior joint capsule. These may be left alone or aspirated depending on the clinical scenario. Recurrence is common especially if the patient has significant intraarticular pathology such as arthritis or meniscal injury. Bakers cysts may rupture with spread of fluid which can mimic signs and symptoms of DVT. If large enough, Bakers cysts may compress surrounding structures including peroneal nerve, popliteal artery and tendons though this is rare.