Was there recent history of trauma after surgery. As MRI suggests marrow edema.
Need to evaluate her clinically.
What was the status of patella tendon in old MRI. Need to she her old MRI and compare the injuries.
Next Steps
I am Dr Palkar from Sangli practicing in Pune, you can contact me for detail discussion.
Health Tips
visit first surgeon and discuss with him, what can be done based on the fresh MRI.
as MRI suggest tear it need to be operated.