Orthopedic care

My shoulder order says MR arthrogram. Which appointment do I book?

What to ask the imaging center when your shoulder MRI order includes an injection into the joint.

General information to help you prepare for a conversation with your clinician.

The surgeon said “MRI.” The order on your phone says “MR arthrogram, right shoulder.” Now the scheduler is asking whether you need an injection, and you’re wondering if someone ordered the wrong test.

Read the order back exactly as written. In a direct MR arthrogram, the team puts contrast into the joint before taking the MRI images. An MRI order that mentions contrast through a vein describes a different route. If the office and the imaging center have different wording, ask them to clarify it with each other before you book.

Ask how the two parts fit together

Try this on the phone: “My order says direct MR arthrogram of the right shoulder. Can you schedule the joint injection and the MRI together? Where do I check in first?” If the booking confirmation lists only the MRI, ask where the injection appears on their schedule. Keep both arrival times if they give you two.

Get instructions for your appointment

Tell the imaging team about any previous reaction to contrast, medications you take and any possibility of pregnancy. Ask whether you need a ride and what they recommend for the rest of the day. If you use your shoulder for work, describe one ordinary task, such as lifting boxes onto a shelf. That gives the team a specific activity to address.

Before you hang up, ask who receives the images and report. If the orthopedist who ordered the study works in another system, confirm how the office will get both before your follow-up.

Source

ACR and RSNA patient guide to direct arthrography