The fusion of x-ray capabilities with functional imaging technology such as SPECT and PET has resulted in hybrid equipment. The utilization of these modalities have resulted in greater diagnostic certainty and enhanced patient management through their advanced visualization capabilities. Until recently, fusing MRI with radiography has been problematic, with most solutions using a moving-bed patient system between MR and x-ray suites. A team from the department of radiology at The Ottawa Hospital in Ottawa has added to the armamentarium of fusion imaging with the creation and deployment of a MRI/radiography system.