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Page 1 of 2 MR ARTHROGRAM WORKSHEET Patient Information Name: Age: Wt: Sex: MAN: Radiologist: Ordering Physician: Current Symptoms: (Please describe the specific problems you are having at this time.
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What is mr arthrogram worksheet?
The MR Arthrogram worksheet is a form used by medical professionals to document information related to a magnetic resonance imaging (MRI) procedure that involves injecting a contrast agent into a joint.
Who is required to file mr arthrogram worksheet?
Radiologists, orthopedic surgeons, or other healthcare providers performing or interpreting the MRI arthrogram procedure are typically required to fill out the MR Arthrogram worksheet.
How to fill out mr arthrogram worksheet?
The MR Arthrogram worksheet should be filled out by documenting details such as patient information, type of contrast agent used, injection site, MRI machine settings, imaging findings, and any complications during the procedure.
What is the purpose of mr arthrogram worksheet?
The purpose of the MR Arthrogram worksheet is to ensure accurate documentation of the MRI arthrogram procedure, which can be used for referring physicians, billing purposes, and patient records.
What information must be reported on mr arthrogram worksheet?
Information such as patient name, date of birth, medical history, contraindications, injection details, imaging sequences, radiologist interpretation, and any adverse reactions must be reported on the MR Arthrogram worksheet.
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