 Without having a MRI to review prior to this injury, I believe, it would be safe to assume that there has been aggravation of a pre-existing condition as related to the left knee and __________ meniscal and anterior cruciate ligament pathology. 
Without having a MRI to review prior to this injury , I believe , it would be safe to assume that there has been aggravation of a pre - existing condition as related to the left knee and _ _ _ _ _ _ _ _ _ _ meniscal and anterior cruciate ligament pathology .