See the X-ray/CT technique course for more information on X-ray densities. On a normal knee image, the femoral condyles are superimposed, but seeing the lateral condyle is smaller than the medial, a good lateral image will show that the front of the medial condyle projects before the front of the lateral condyle. Learn how to distinguish between a normal and a bad knee X-ray and what they reveal about your knee health. A normal X-ray shows well-aligned bones, clear joint space, and no signs of injury or disease, while a bad X-ray may indicate arthritis, fractures, or other pathologies. Normal AP and lateral knee radiographs in an adult male. Borderline patella alta. Learn how a Knee X-Ray can help diagnose knee injuries, pain, disorders, and tumors by creating images of the bones and joints. Find out what to expect before, during, and after the test, and how to interpret the results.