Aim: This study aimed to evaluate the role of magnetic resonance imaging (MRI) in diagnosing meniscal tears and assessing associated injuries in patients presenting with knee pain at a tertiary care center.Material and Methods: A prospective observational study was conducted, involving 120 patients with clinically suspected meniscal injuries. All participants underwent MRI scanning using a 1.5T Siemens ESSENZA scanner, with imaging sequences including axial, coronal, and sagittal planes. The MRI findings, including tear type, grade, and associated injuries, were analyzed by senior radiologists. Statistical analysis was performed to determine the diagnostic accuracy and correlation with associated pathologies.Results: MRI detected meniscal tears in 85 patients (70.83%), with medial meniscal tears observed in 55 cases (45.83%) and lateral meniscal tears in 30 cases (25.00%). Lateral meniscus tears were most commonly located at the posterior horn/anterior horn (12.50%). ACL injuries were present in 37.50% of cases, while joint effusion and bone contusion were identified in 37.50% and 29.17% of patients, respectively. Longitudinal tears were strongly associated with ACL injuries (25.00%), and Grade III tears demonstrated the highest association with joint effusion and bone contusion (20.83%).Conclusion: MRI is a valuable diagnostic modality for evaluating meniscal tears, offering precise classification and assessment of associated injuries. Its non-invasive nature and high diagnostic accuracy make it the preferred imaging technique for effective diagnosis and treatment planning. Advancements in MRI technology further enhance its clinical utility.