Chest MRI Scan

Chest magnetic resonance imaging (MRI) is a safe, noninvasive test. "Noninvasive" means that no surgery is done and no instruments are inserted into your body. This test creates detailed pictures of the structures in your chest, like your chest wall, heart, and blood vessels.

Chest MRI uses radio waves, magnets, and a computer to create these pictures. The test is used to:

• Look for tumors in the chest
• Look at blood vessels, lymph (limf) nodes, and other structures in the chest
• Help explain results of other tests, such as chest x ray or chest CT scan (also called computed tomography scans)

As part of some chest MRIs, a special substance (called contrast dye) is injected into a vein in your arm. This dye allows the MRI to take more detailed pictures of the structures in your chest.

Chest MRI has few risks. Unlike a CT scan or standard x ray, MRI doesn’t use radiation or have any risk of causing cancer. Rarely, the contrast dye used for some chest MRIs may cause an allergic reaction.

Other Names for Chest MRI

Chest MRI also may be called chest nuclear magnetic resonance imaging.

Who Needs a Chest MRI?

You may need a chest MRI if your doctor suspects you have a chest condition, such as:

• A tumor
• Problems in the blood vessels, such as an aneurym or blood clot
• Abnormal lymph nodes
• Other chest conditions

A chest MRI also may be used to explain the results of other tests, such as chest x ray and chest CT scan.

What To Expect Before Chest MRI

Your doctor or the MRI technician will ask you some questions before a chest MRI, including:

• Are you pregnant or do you think you could be?
• Have you had any surgery? If so, what kind?
• Do you have any metal objects in your body, like metal screws or pins in a bone?
• Do you have any medical devices in your body, such as a pacemaker, an implantable cardioverter defibrillator, cochlear (inner-ear) implants, or brain aneurysm clips? The strong magnets in the MRI machine can damage these devices.

Your answers will help your doctor decide whether you should have a chest MRI.

Items Not Allowed in the MRI Room

Your doctor or technician will ask you to not wear or bring metal or electronic objects into the MRI room. These include:

• Hearing aids
• Credit cards
• Jewelry and watches
• Eyeglasses
• Pens
• Removable dental work
• Any other magnetic objects

MRI magnets can damage these objects, and they can interfere with the MRI machine.

The MRI Machine

An MRI machine looks like a long, narrow tunnel. During the MRI, you lie on your back on a sliding table. The table passes through the scanner as it takes pictures of your chest. Newer machines are shorter and wider and don’t completely surround you; others are open on all sides.

Tell your doctor if you’re afraid of tight or closed spaces. He or she may give you medicine to help you relax or find you a place that has an open MRI machine.

If you do receive medicine to relax you, your doctor may ask you to stop eating about 6 hours before you take it. This medicine may make you tired, so you’ll need to arrange for a ride home after the test.

Contrast Dye

Your doctor may give you a special substance (called contrast dye) before the MRI. This dye allows the MRI to take more detailed pictures of the structures in your chest.

The contrast dye will be injected into a vein in your arm. You may feel some discomfort where the needle is inserted. You also may have a cool feeling as the dye is injected.

The contrast dye used in a chest MRI doesn’t contain iodine, so it won’t create problems for people who are allergic to iodine. Rarely, people develop allergic symptoms from the dye, such as hives and itchy eyes. If this happens, your doctor will give you medicine to relieve the symptoms.

If you’re breast-feeding, ask your doctor how long you need to wait after the test before you breast-feed. The contrast dye can be passed to your baby through your breast milk.

You may want to prepare for the test by pumping and saving milk for 24 to 48 hours in advance. You can bottle-feed your baby in the hours after the test.

What To Expect During Chest MRI

A chest MRI usually is done at a hospital or at a special medical imaging facility. A radiologist or other doctor with special training in this type of test oversees the testing.

A chest MRI usually takes 45 to 90 minutes, depending on how many pictures are needed. The test may take less time with some newer MRI machines.

How the Test Is Done

A chest MRI is painless and has few risks. During the test, you lie on your back on a sliding table as it passes through the MRI machine. The technician will control the machine from the next room. He or she will be able to see you through a glass window and talk to you through a speaker. Tell the technician if you have a hearing problem.

You will hear loud humming, tapping, and buzzing noises from the MRI machine. You may be able to use earplugs or listen to music during the test.

Moving your body can cause the pictures to blur. The technician will ask you to remain very still during the test. If you can’t lie still, you may be given medicine to help you relax. The technician also may ask you to hold your breath for 10 to 15 seconds at a time, while he or she takes pictures of the structures in your chest.

What To Expect After Chest MRI

You usually can return to your normal routine right after a chest MRI.

If you got medicine to help you relax during the MRI, your doctor will tell you when you can return to your normal routine. The medicine may make you tired, so you’ll need someone to drive you home.

If contrast dye was used during the test, you may have a bruise where the needle was inserted. Also, if you’re breast-feeding, you’ll need to bottle-feed your baby for a short time after the test. The contrast dye can be passed to your baby through your breast milk.

Ask your doctor how long you need to wait before you breast-feed. You may want to prepare for the test by pumping and saving milk for 24 to 48 hours in advance.

What Does a Chest MRI Show?

A chest MRI may show a tumor, problems in the blood vessels (such as an aneurysm or blood clot), abnormal lymph nodes, and other chest conditions.

What Are the Risks of Chest MRI?

There are no risks from the magnetic fields or radio waves used during a chest MRI.

Serious reactions to the contrast dye used for some MRIs are very rare. However, side effects are possible and include the following:

• Headache
• Nausea (feeling sick to your stomach)
• Dizziness
• Changes in taste
• Allergic reactions, such a hives and itchy eyes

Rarely, contrast dye is harmful to people who have severe kidney disease.

Key Points

• Chest MRI is a safe, noninvasive test. It creates detailed pictures of the structures in your chest, like your chest wall, heart, and blood vessels. Radio waves, magnets, and a computer are used to make these pictures.
• Chest MRI is used to look for tumors in the chest; look at blood vessels, lymph nodes, and other structures in the chest; and help explain results from other tests, such as chest x ray and chest CT scan.
• You may need a chest MRI if your doctor suspects you have a chest condition, such as a tumor, a problem in the blood vessels (such as an aneurysm or blood clot), abnormal lymph nodes, or other chest conditions.
• Before a chest MRI, your doctor or the MRI technician will ask you questions about your health to make sure an MRI is safe for you. You should not wear or bring metal or electronic objects into the MRI room. The MRI can damage these items, and they can interfere with the MRI machine.
• An MRI machine looks like a long, narrow tunnel. New machines are shorter and wider and don’t completely surround you; others are open on all sides. Tell your doctor if you’re afraid of tight or closed spaces. He or she may give you medicine to help you relax or find you a place that has an open MRI machine.
• Before the test, your doctor may inject a special substance (called contrast dye) into a vein in your arm. This dye allows the MRI to take more detailed pictures of the structures in your chest.
• If you’re breast-feeding, ask your doctor how long you should wait after the test before you breast-feed. The contrast dye can be passed through your breast milk. You may want to prepare for the test by pumping and saving milk for 24 to 48 hours in advance. You can bottle-feed your baby in the hours after the MRI.
• A chest MRI is painless. During the test, you lie on your back on a sliding table as it passes through the MRI machine. The machine takes pictures of your chest. Moving your body can cause the pictures to blur. You will be asked to remain very still during the test.
• You usually can return to your normal routine right after a chest MRI. If you got medicine to help you relax, your doctor will tell you when you can return to your normal routine. The medicine may make you tired, so you’ll need someone to drive you home.
• Chest MRI has few risks. Rarely, the contrast dye used for some chest MRIs may cause an allergic reaction.