It is not uncommon to receive ambiguous and incorrect imaging reports from radiologists. There are numerous reasons for this, such as poor clinical information, differential experience, imaging protocols, etc. As there is no unified protocol for MRI sequencing reports are limited by these factors. Studies have also shown that there is poor agreement on scan interpretation, with experienced surgeons being more accurate than radiologists, as they can better correlate the imaging with the clinical information. There is a lot of mystique and misunderstanding around MRI imaging and many surgeons find it confusing. In this lecture I will provide some of my tips and experience in understanding MRI scanning for the surgeon and clinician.