What is the cause of a knocking sound in the rear left of vehicle?

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I hear a knocking sound in the rear left side of the car, only when I accelerate from a dead stop, or when I take a corner at below 20 mph. I don't otherwise hear the sound on a smooth road or over a bump. My car has 188,000. First time I've heard this noise. Never had struts or shocks replaced. Brake inspection was negative. Is this a strut and shock issue?