Text-to-image generative models have made remarkable advancements in generating high-quality images. However, generated images often contain undesirable artifacts or other errors due to model limitations. Existing techniques to fine-tune generated images are time-consuming (manual editing), produce poorly-integrated results (inpainting), or result in unexpected changes across the entire image (variation selection and prompt fine-tuning). In this work, we present Diffusion Brush, a Latent Diffusion Model-based (LDM) tool to efficiently fine-tune desired regions within an AI-synthesized image. Our method introduces new random noise patterns at targeted regions during the reverse diffusion process, enabling the model to efficiently make changes to the specified regions while preserving the original context for the rest of the image. We evaluate our method's usability and effectiveness through a user study with artists, comparing our technique against other state-of-the-art image inpainting techniques and editing software for fine-tuning AI-generated imagery.