MRI - PATIENT INFORMATION SHEET
(Yes (No Vascular access port and/or catheter (Yes (No Radiation seeds or implant (Yes (No Swan-Ganz or thermodilution catheter (Yes (No Medication patch (Nicotine, Nitroglycerine) (Yes (No Any metallic fragment or foreign body (eyes) (Yes (No Wire mesh implant (Yes (No Tissue expander (e.g., breast) (Yes (No Surgical staples, clips, or ... ................
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