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Fig. 3B —36-year-old man with chronic left-sided wrist pain. Coronal T1-weighted spin-echo sequences (TR/TE, 420/15) with (A) and without (B) fat suppression acquired 19 minutes after intraarticular injection of Gd-DOTA (tetraazacyclododecanetetraacetic acid) (time point 1). In distal radioulnar joint (arrow), joint distension, sharpness of anatomic structures, and contrast between joint fluid and adjacent anatomic structures was rated higher on fat-suppressed MR images (good) than on non-fat-suppressed images (fair).