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This is a therapeutic arthrogram on a 20 year old male with a history of chronic wrist synovitis. Using a sterile technique, under fluoroscopic guidance, a 23 gauge needle was placed with the tip located within the right radiocarpal joint. A mixture of 2 ml of Celestone and 3 ml of Naropin were injected. There was a prominent joint recess located on the volar surface with the impression of frond-like material within it suggestive of a synovitis, possibly PVNS.