Knee fat pad lesions represent a niche yet clinically significant domain in musculoskeletal imaging, with limited consolidated literature and frequent diagnostic ambiguity. This educational poster hopes to address this gap by providing clear, practical, and visually intuitive cues that aid in efficient diagnosis. By combining the optimized classification system, step-wise diagnostic workflow, MRI signal correlation keys, and single-glance pathology summaries, this poster aims to serve as a real-world reporting aid, helping reduce missed or misclassified lesions, and ultimately contribute to better evaluation of patients presenting with anterior knee pain. In an era of increasingly detailed imaging, recognizing and correctly interpreting fat pad pathology can significantly impact patient management.  This poster provides a comprehensive yet simplified roadmap to achieve that goal.