I, too, have been at the receiving end of these varied opinions.
While my MRi report said I had a 'significant bucket handle tear of medial meniscus', two out of three OSs outright disagreed with the radiologist's report. They looked at my MRI and said that they can't see the tear (The MRI was difficult to read due to the interference screws from an ACLr distorting the MMRI). A third OS took some more time with the MRI, saw the meniscal tear and also suggested I get a new ACL graft as the current one was incorrectly placed and hence not functional. Finally when I went in for the surgery, it was seen that the meniscus was indeed damaged beyond repair (thanks to the first OS, I ended up not worrying about it for an year).
From personal experience, I feel that the older doctors don't really care for a radiologist's reports and that can sometimes lead to troubles for the patient later down the road.
Just my .02