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MR Ethnography Questionnaire ***Referring physicians please fax completed form to 4033281218 Patient Name:______ ___(Last)Date of Birth: ___(First)(Middle Initial)Age: ___(MM/DD/YYY)AHC #:___ Patient

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What is small bowel mr enterography?

Small bowel MR enterography is a magnetic resonance imaging technique specifically designed to visualize the small intestine. It uses MRI technology to produce detailed images of the small bowel, often after the patient ingests a contrast material, which helps to enhance the visibility of the intestinal structures.

Who is required to file small bowel mr enterography?

Patients with specific gastrointestinal symptoms, such as Crohn's disease, unexplained abdominal pain, or other conditions affecting the small intestine may be required to undergo a small bowel MR enterography as part of their diagnostic process.

How to fill out small bowel mr enterography?

Filling out small bowel MR enterography typically involves a healthcare provider or radiologist completing the necessary forms for the procedure, which may include patient information, medical history, indications for the test, and sometimes pre-procedure instructions for the patient.

What is the purpose of small bowel mr enterography?

The purpose of small bowel MR enterography is to assess and diagnose various conditions of the small intestine, such as inflammatory bowel disease, tumors, blockages, or other abnormalities. It provides detailed images that can help inform treatment options.

What information must be reported on small bowel mr enterography?

The report on small bowel MR enterography should include findings related to the condition of the small bowel, any abnormalities detected, conclusions drawn by the radiologist, and recommendations for further evaluation or treatment if necessary.