MRI-induced soft tissue pain: incidental finding of a 15-year-old foreign body

Theofilos El Sayed Omar1, Ussamah El-Khani, Jean Nehme

  • 1Keele University Medical School, University Hospital of North Staffordshire, Stoke-on-Trent, UK.

BMJ Case Reports
|February 19, 2013
PubMed

Insights

An 82-year-old woman experienced finger pain during an MRI, revealing a 15-year metallic foreign body. This highlights the need for vigilance in screening for metallic foreign bodies before MRI scans.

Area of Science:

  • Radiology
  • Medical Imaging
  • Orthopedic Surgery

Background:

  • Magnetic Resonance Imaging (MRI) is a crucial diagnostic tool.
  • Metallic foreign bodies pose significant safety risks during MRI procedures.
  • Pre-MRI screening protocols are essential for patient safety.

Observation:

  • An 82-year-old female patient reported intense right middle finger pain during an MRI scan.
  • The pain was associated with an incidental finding of a metallic foreign body.
  • The foreign body was located in the distal phalanx of the right middle finger and had been present for 15 years.

Findings:

  • The metallic foreign body in the distal phalanx caused significant pain during the MRI.
  • The presence of the foreign body was not identified prior to the MRI scan.
  • The MRI procedure itself may have exacerbated symptoms related to the foreign body.

Implications:

  • Clinicians must remain vigilant in screening for metallic foreign bodies before MRI.
  • A low threshold for plain imaging (e.g., X-ray) is recommended prior to MRI if a metallic foreign body is suspected.
  • Thorough pre-MRI checklists and patient history are critical to prevent potential complications.

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