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Updated: May 14, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
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.
Abstract:
We present the case of an 82-year-old woman who developed intense right middle finger pain during MRI scan This alerted the clinical team to the incidental finding of a 15-year-old metallic foreign body in the distal phalanx of the right middle finger. This case report is a reminder that the responsible clinician should be vigilant when screening for metallic foreign body on completion of the MRI checklist, and should adopt a low threshold for plain imaging prior to MRI.
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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