Hi - Glad you found it helpful

I attached my x-ray for you, which should answer a few questions, but unfortunately I wasn't given the angle you hoped for (found out too late myself), and I was planning on having another x-ray just for it
Yes the side view gives you some idea but the skyline/sunrise view is much more informative. I am really not an expert on reading xrays but this seems to indicate that you have a reasonable joint space at the PF joints - ie plenty of cartilage there. Of course an xray can't tell you about the quality of the cartilage as the cartilage is invisible on the xray - but you can see whether it is getting thin or not. The skyline view gives an idea of alignment of the patella against the femur. They really should have take this as this is a standard view for patello femoral joint syndrome. The Wikipedia reference-linkMRI might tell you more.

Misshapen patella: Can you judge that by the x-ray?
The patella look ok to me - just based on the xrays. A clinical exam can also gives you info about this but doesn't seem anything grossly wrong

Q-angle: if I just look at my legs, it visually seems as if they do indeed have a Q-angle, but I'm not experienced enough to tell if its just some mass imbalance between my inner-outter thigh. X-ray should be enough to figure that.
Q angle is a bit technical but have a look at Figure 2 in this article.
http://www.aafp.org/afp/2003/0901/p907.html

Women generally have a larger normal Q angle than men due to having a wider pelvis. An abnormal Q angle is excessive this is associated with patellofemoral pain. It would be best to get your physio to measure this. I couldn't really work it out from your xray as I would need to see the hip bone.

Yes, my VMO was weak, at least visually. Now it has somewhat more mass.
That is good! Well done! the muscle is prone to weakness and seems to get switched off with the pain and inflammation so you should keep the exercises up.

Lateral tightness, well, I'm not sure if I did have it, but I purchased a foam roller a week ago and have been rolling my quads/hams/glutes 2-3 times a week. First few time I rolled I would get pain in knees similar to the one I get from actually training. I guess I did hit some trigger points.
. Not sure if this would do the trick. However your physio should have assessed it and can show you how to mobilise the knee cap if need be to stretch the tissue

I wouldn't panic so much about the popping, if it wasn't for the fact that I didn't get it in the past.
Yes I can understand you being worried if it wasn't there before and you are getting it now. However as long as the exercise you have done was introduced gradually as it sounds like it was it won't be causing you harm. Audible noises from joints when you have joint problems are quite common. It may be that the patellae are tracking slightly differently since you have been exercising and this is causing them to "rub" differently. If the cartilage isn't as smooth as it should be this could be why and in which case it should get better. As I said, it may just settle down but if you are worried you could always talk to your physio

after exercising the quads I do get this crunching feeling like my patella is rubbing against something.
As above. You may find this is just something you have to live with and the more you can improve the strength of the muscles and the quality of the cartilage the better things will get. I would take it as a sign that you are exercising fine but not to do too much more. Give the joints time to adapt to the exercise load.

Hmm, could you explain how that would affect the knee? I do stretch and foam oll the hamstring though, so it should be ok.
Not everyone with PF syndrome has this.

What would you recommend as anti-inflammatory, and what is wrong with inflammation exactly (apart from the painful part)?
No sorry I am not able to recommend something - it is beyond my legal scope of practice. However your pharmacist or Dr can recommend something. There are a number of gels and creams that in our country we can by over the counter - basically you can buy one with Non-steroidal anti inflammatory drug as the active ingredient. As far as I know they all are about as equally effective. The issue with inflammation is that in the acute situation inflammation is an essential part of the healing process. However chronic inflammation as in the case of joint disease, causes the pain, and in the long run can be harmful to the joint structures. The accompanying swelling is not good for the joint and cause laxity of the joint. It will also keep "switching off" the muscles you are working so hard to build up. So one of key aims of your rehabilitation is to keep the inflammation under control. You want to break the vicious cycle of stressing the knees and getting inflammation which results in decreased function.