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Intraarticular synovial fibroma is extremely rare with only 14 known cases reported in the literatures. Descriptions and illustrations about the imaging features are also limited. We hereby present a case of synovial fibroma in the knee joint which shares similar imaging features and clinical presentations with localized pigmented villonodular synovitis (PVNS). Therefore, it is important that synovial fibroma be included in the list of differential diagnosis through the process of reaching a definitive diagnosis of PVNS.

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