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EFTA00306878
, screw, nail, wire, plate Body piercing (s) Tattooed Makeup (eyeliner, ups, etc) My Metal Fragments IUD or Diaphragm Hearing aid (remove before MRUMRA) Dentures (remove before MRINRA) Asthma or other breathing disorder Meaty Other: 1. What problems are you having that made the doctor order th
EFTA00313917
D ($25) Paper Report 1. o CT/CTA o MRI/MRA 2 Ultrasound K PET K X-Ray K Bone Density K Mammogram / AUy peps= taT p.A.b LOt-)1 2. 2 CT/CTA c MRUMRA 0 Ultrasound o PET 2 X-Ray c Bone Density 2 Mammogram 0 3. n CT/CTA c MRUMRA 0 Ultrasound c PET 2 X-Ray c Bone Density Mammogram 0 CT/CTA c MRI
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