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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Of Gall Bladder Done. What Does Findings Suggest?

DR I am 51 yrs old and recently was diagnosed with gabladder well distended with multiple polys within largest measuring 6mmms.one or two tiny soft calculi were also noted with the largest measuring 3.9mms.there was no evidence of dialation of intra or extra hepatic bilary radicles. ,MRI report says gall bladder is distended and shows multiple tiny non dependet filling defects arising from its wall suggestive of gb polys.also few tiny dependent fililing defects are seen in the gall bladder.these are likely to represent tiny gb calculi.there is no evidence of percholecystic collection.cbd is not dialed and measures 4mm in maximum transverse diameter.no evidedence of any calclus seen within it.my doctor says galbladder to be removed.no other abnormality detected in upper abdonimal study.i seek your advise.
Tue, 6 Aug 2013
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Radiologist 's  Response
Hi,
Thanks for writing in.

As per your MRI report, gall bladder shows few polyps and stones within. There is no block to the flow of bile as the CBD common bile duct is normal.

Generally if there are more than one stone and polyps too, surgical removal of gall bladder is advised.
Your doctor has given you the right treatment option.
Gall bladder surgery is usually done laproscopically nowadays and associated problems are very less.

Hope this helps.
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Radiologist Dr. Muhammad Shoyab's  Response
Welcome to HCM, the perfect place to voice your concerns and alleviate your anxieties. How many other places are there where you get specialist opinion with only mouse and keyboard?

My first message to you — no worries. My second message — no worries at all.

Your MRI findings describe things we (radiologists & surgeons alike) handle everyday, and if I weren't talking to the patient (that's you) directly, I'd have started my answer with, "Hey, it's piece o'cake!"

So your diagnosis is polyps and stones in an otherwise normal gall bladder. The treatment, to the best of my knowledge (and the surgeon always knows better) : laparoscopic cholecystectomy. It's done under general anaesthesia.

In my hospital, patients undergoing this operation are able go home on the very next day and are able to resume normal life within another day or two. In many countries of the world, this operation is done on a daycare basis, which means that the patient goes home in the evening after having the operation in the morning.

So, no worries, piece o'cake!

Before I conclude, I can't hide a curiosity. What kind of complaints did you have that took you to the doctor? I ask it because when a doctor suspects a problem in the gall bladder, they'd usually ask for an ultrasound, and many GB problems (except the most complicated ones) do not require further imaging. But in your case, the doctor requested an MRI. Did your complaints or other lab findings suggest things bigger than simply polyps and stones? It's only a curiosity on my part as a radiologist, but you could discuss it with him too, in order to be sure that stones and polyps are all that there is.

Wishing you best of luck for your upcoming surgery, and with respect to your doctor.
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MRI Of Gall Bladder Done. What Does Findings Suggest?

Hi, Thanks for writing in. As per your MRI report, gall bladder shows few polyps and stones within. There is no block to the flow of bile as the CBD common bile duct is normal. Generally if there are more than one stone and polyps too, surgical removal of gall bladder is advised. Your doctor has given you the right treatment option. Gall bladder surgery is usually done laproscopically nowadays and associated problems are very less. Hope this helps.