This black and white image appears to be a historical medical illustration depicting an arterial injection process. The scene is set in a room with anatomical charts hanging on the walls. These charts display detailed illustrations of the human skeleton, muscles, organs, and the eye. A doctor, dressed in a suit and tie, is shown performing an injection on a patient who is lying on a table covered with a white sheet. The doctor is focused on the patient's head, and appears to be injecting something near the eye. Another man, also dressed in a suit, is observing the procedure. The overall tone of the image is serious and clinical, reflecting the nature of the medical procedure being depicted. The image is labeled 'Fig. 20 - ARTERIAL INJECTION BY THE EYE PROCESS.'