1117402
MISS
MISS ABEER
ABEER AL-DHIFIRI
AL-DHIFIRI Central Middlesex Hospital
119119 Pinner
Pinner ViewView Acton Lane
HARROW
HARROW London
HA1 4RP
HA1 4RP NW10 7NS
Website: www.lnwh.nhs.uk
Telephone Number: 020 8963 8820
NHS Number: 6498835028
Hospital Number(s): 4744017
Dear MISS A AL-DHIFIRI, 21 January 2025
Please read all of the contents of this letter as it contains important instructions regarding
your appointment. On arrival, if you have failed to comply with any specific instructions,
your appointment may be cancelled.
An appointment has been made for you to attend the MRI Department for the following:
Examination(s): MRI Pituitary with contrast
Date: Thursday 27 February 2025, at 9:30 AM
Location: Central Middlesex Hospital
Department: ACAD MRI Unit, (Area 4)
PLEASE CONTINUE TO DRINK NORMALLY BUT REFRAIN FROM EATING FOR 2 HOURS PRIOR
TO YOUR APPOINTMENT.
On the day of the test, please report to the MRI Reception - Area 4 (ACAD Building),
CENTRAL MIDDLESEX HOSPITAL and bring this letter with you.
The MRI Unit is clearly signposted at Central Middlesex Hospital. It is important you arrive
on time and that you confirm your appointment at least 36 hours in advance, via SMS
received or by calling 020 8963 8820. Failure to confirm your appointment, may result in
your appointment cancellation. The ACAD entrance is closed on weekends and bank
holidays – please use the Main Entrance.
Late arrival for your appointment will result in your scan being cancelled. This is due to the
fact that there is a high demand on the MRI service and we therefore have a very strict
appointment schedule. Failure to arrive will result in the hospital incurring a substantial
cancellation fee and your appointment will not be rebooked automatically.
Attendance No: 9595102 Codes: MPITFC
Accession No:
R1K0000959510201
If you are unable to attend your appointment, please contact us on the telephone number
at the top of your letter.
Due to the constraints on the service, we ask if you can please arrive on time, as we operate
an appointment system. If you are more than 10 minutes late, we may have to cancel your
appointment. Remember that if you do not attend your appointment without letting us
know, we may have to discharge you back to your referrer. If the procedure is still required,
your doctor will need to refer you to us again and you will have to re-join the waiting list for
another appointment.
We ask you attend your appointment alone if you can. If you do need to be accompanied by
someone because you need support, please let a member of our team know when you
arrive.
Please remove any jewellery before your appointment. We are unable to take responsibility
for any jewellery that goes missing.
If you require transport to attend your appointment, please liaise directly with the
referring doctor to arrange this. If you have an appointment either in the evenings or
weekends and require transport, please contact us on the telephone number at the top of
this letter to re-schedule for a daytime appointment.
If you need an interpreter, please let us know at the beginning of your appointment, and
we’ll call our phone interpreter to help.
Parking on site may be limited, please allow extra time when planning your journey. If
possible, please use public transport. Please visit https://www.lnwh.nhs.uk/finding-us for
more information.
This Trust now stores all medical imaging electronically. As part of a shared service
agreement with other NHS organisations, your radiology images and reports may be shared
with organisations directly involved in your care – if a legitimate request is received. If you
have any questions or concerns about these data-sharing arrangements, please contact us
directly.
Note: If we have your mobile number on record, we will send you an SMS appointment
reminder.
Yours sincerely,
Radiology Clinical Lead
Attendance No: 9595102 Codes: MPITFC
Accession No:
R1K0000959510201
IMPORTANT INFORMATION ABOUT YOUR MRI SCAN
Please arrive 15 mins prior to the appointment time. Parking is available in the car park
outside UCC (The Urgent Care Centre).
Please note: On rare occasions, your appointment may be delayed due to emergency
patients having to be prioritised.
Please fill out the attached MRI Patient Safety Questionnaire prior to your appointment and
bring it with you. If you have ever had an operation which involved having something
permanently placed inside the body, or if there is any possibility of you being pregnant,
please telephone the MRI unit at least 36 hours prior to your appointment.
Prior to your scan, you will be required to remove watches and all jewellery (except a
wedding band), so if possible, please leave them at home.
If possible, please avoid wearing clothing with metal zips or fastenings, as not all scans
require you to change into a hospital gown.
If you have hair extensions and are having a scan of your head, please notify the MRI unit at
least 36 hours prior to your appointment. Some hair extensions, including natural hair
extensions, contain metal fragments and may need to be removed.
If you are claustrophobic or require someone to accompany you into the scanning room,
please notify the MRI unit at least 36 hours prior to your appointment. For claustrophobic
patients, sedation guidelines are available on request.
Children up to the age 18 need to be accompanied by a parent or guardian. Without a
parent or guardian, we will not be able to scan them.
Please note: If you do not speak English fluently, you must ask the doctor to arrange for an
interpreter working for the Trust, otherwise we will not be able to perform this
examination. If this is not possible, please notify the MRI unit at least 36 hours prior to your
appointment. Relatives/friends are not permitted to translate.
If you require any further information please do not hesitate to contact the MRI unit on
the telephone number above.
Magnetic Resonance Imaging (MRI) - Patient Safety Questionnaire
Name (Print): …………………………………………………… Date of birth: ………………………………...
Patient No: ……………………………………………………… Weight (Kg): ………. Height (cm): ……….
So that we can assess whether it is safe for you to have a MRI scan, would you please complete the following questions and bring
this questionnaire with you.
Radiographers use Patients use
Yes No 1. Have you ever had any METALLIC fragments in one or both eyes? Yes No
2. Do you have any of the following implants?
Yes No Cardiac pacemaker and/or internal cardiac defibrillator Yes No
Yes No Artificial Heart Valve and/or REVEAL device Yes No
Yes No A stent inserted in any part of your body in the last 6 weeks Yes No
Yes No Cerebral aneurysm clips Yes No
Yes No Implanted pain control and/or drug infusion device Yes No
Yes No Programmable hydrocephalus shunt Yes No
Yes No Cochlear or other ear implant Yes No
Yes No 3. Have you had any surgery? (If yes, please give details below) Yes No
Yes No
Yes No
Yes No 4. Do you have any Renal (Kidney) problems? Yes No
Yes No 5. Have you had shrapnel injury (bomb blast or gunshot)? Yes No
Yes No 6. Are you pregnant or breast feeding? Yes No
For your safety, if you have answered “yes” to any question from 1 to 6 please contact the scanning centre staff as
soon as possible.
7. Do you have any of the following?
Yes No Asthma Yes No
Yes No Epilepsy Yes No
Yes No False eye or coloured contact lenses Yes No
Yes No Joint replacement or metal implant Yes No
Yes No Artificial limbs, callipers or surgical corset Yes No
Yes No Removable dentures Yes No
Yes No Hearing aid Yes No
Yes No Skin patch (nicotine or hormone) Yes No
Yes No Body piercing (If “yes”, please remove prior to scan) Yes No
Yes No Diabetes Yes No
Yes No 8. Are you allergic to anything that you know of? Yes No
Patient Declarations – To be completed on the day of the examination
I confirm that these answers are true and accurate to the best of my knowledge and belief.
Patient’s Signature
(Parent or Guardian - if under 16)
I understand that I may need an intravenous injection of a contrast agent as part of the examination
and I confirm that the risks and benefits of the injection of such a contrast agent have been
explained to me and I understand them.
Patient’s Signature
(Parent or Guardian - if under 16)
Radiographer’s Signature: …………………......................................................
