Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

123 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Got radiology nuclear medicine results. What are the findings?

Answered by
Dr.
Dr. Manoranjan Chowhan

Radiologist, Nuclear Medicine

Practicing since :1991

Answered : 103 Questions

default
Posted on Tue, 29 Jan 2013 in X-ray, Lab tests and Scans
Question: NUCLEAR MEDICINE HEPATOBILIARY SCAN
COMPARISON: Right upper quadrant ultrasound dated 23 May 2012.
F TECHNIQUE: Imaging of the gallbladder and liver after 4.98 mCi of
technetium 99m Choletec was administered intravenously. There were 1.68 mg of CCK also administered intravenously.
FINDINGS:
There is symmetric uptake within the liver. The gallbladder is identified at
minute three. Bowel activity is identified at six minutes. No filling defect is identified within the gallbladder. The gallbladder ejection fraction is
80%.
IMPRESSION:
NORMAL HEPATOBILIARY SCAN

RIGHT OPPER QUADRANT ULTRASOUND
COMPARISON: Abdominal ultrasound, 26 April 2012.
FINDINGS: Pancreas head and body are unremarkable. The tail is not seen.
There
is increased echogenicity of the liver. The gallbladder wall measures 0.2
em.
No filling defect is identified within the gallbladder. Common duct
measures
0. 5 em.
The right kidney has a length of 10.4 em and demonstrates a normal
sonographic
appearance.
IMPRESSION:
1. HEPATIC STEATOSIS.
2. NO EVIDENCE OF CHOLELITHIASIS OR ACUTE CHOLECYSTITIS.

-------------
Reason for Order:
Status: Complete
MRI,ABDOMEN
09-May-2012 07:32:00
NO BRIEF COMMENT
Pt with hx of abdominal pain. abdominal u/s normal. I spoke with
radiologist and
he recommended
She is having ongoing abd
0000
11-Jun-2012 14:18:00
13-Jun-2012 04:33:00
sx. Please eval

MRI ABDOMEN, WITHOUT CONTRAST, WITH MRCP SEQUENCE
F
COMPARISON: Nuclear medicine HIDA scan dated 05/24/2012 and right upper
quadrant abdominal ultrasound dated 05/23/2012.
TECHNIQUE: Multiplanar, multisequence MRI images of the abdomen were
acquired on a 1.5 Tesla scanner with MRCP sequences.
FINDINGS: The visualized osseous structures are intact with normal marrow
signal intensity. No abdominal ascites is identified. No
pathologically-enlarged lymph nodes are identified in the abdomen.
Visualized bowel and mesentery are unremarkable. Visualized portions of the spinal
cord demonstrate normal signal intensity. Visualized vascular structures
demonstrate normal noncontrast appearance. No aneurysmal dilatation of the abdominal aorta. The liver, pancreas, spleen, bilateral adrenal glands, and left kidney arenormal in noncontrast appearance. There is a tiny 4.5 mm cystic lesion
off the posteromedial margin of the right kidney, likely representing a benign
renal cyst. The visualized portions of the gallbladder demonstrate normal signal
intensity or and morphology. No evidence for intraluminal filling defects to suggest
presence of gallstones. No adjacent pericholecystic inflammatory change fluid. uniform The cystic duct measures approximately 4.5 mm in diameter. It is
in appearance, without evidence for strictures or dilatations. The common
bile No duct measures approximately 4.5 mm in diameter and is uniform in caliber
throughout its visualized course with smooth tapering near the ampulla.
evidence for intraluminal filling defects. No intrahepatic or
extrahepatic biliary ductal dilatation. No evidence for sequential areas of focal
stricturing and dilatation.
IMPRESSION:
1. UNRE~~RKABLE NONCONTRAST MRI EVALUATION OF THE ABDOMEN AND BILIARY DUCTAL SYSTEM WITH UNREMARKABLE MRCP. NO INTRALUMINAL FILLING DEFECTS OR AREAS OF FOCAL DILATATION AND STRICTURING.

t: MSG


Please review radiology nuclear medicine results. what is an acceptable gallbladder ejection fraction and at what point is a gallbladder removal appropriate?
doctor
Answered by Dr. Manoranjan Chowhan 3 hours later
Hi,

Thanks for the query.

I went through the reports and following are my comments:

1. It appears that the Gall bladder (GB) is normally visualised. There is neither gall stone nor any feature suggestive of acute cholecystitis - so there is no indication for gall bladder surgery currently.

2. The GB EF is 80% - that lies within normal limit. The reference value varies between 50 to 80%.

3. Since Inj. CCK was administered and the GB EF lies in normal range - currently there is no indication to go under the knife.

4. In future, a surgery might be needed if you develop fresh symptoms, ultrasound sound reveal gall stones; features of acute inflammation along with fall in GB functions below 30%.

Let me know if you need further clarifications.

Regards


Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,  
Drug/Medication
Medical Procedures
Lab Tests ,   ,  
Medical Topics ,  

Recent questions on  Gallstone

doctor1 MD

recently, after every time I eat I get extremely sharp pains in my stomach and chest and end up feeling absolutely terrible. I ve gone to my doctor multiple times for this problem thinking it is gallstones but they say that that s not the case. I don t know what it is and I don t know how to stop it

doctor1 MD

Hi, For the last two months I have been suffering from dizziness before needing to move my bowels. I had blood tests which initially showed my liver working a little too hard but my last blood test which was about five weeks ago shows everything to be normal. My thyroid is fine and an ultrasound two weeks ago has proved no gallstones are present. And yet I still get dizzy and sometimes feel sick from approximately an hour before I feel like go like going for a number two. After using the loo my symptoms disappear. I went through a period of two weeks where the dizziness wasn t so bad but I had incredibly foul smelling flatulence. That was about three weeks ago. My stools tend to be normal but every now and again my stools will be softer than normal and more orange than Brown.

doctor1 MD

Sir, My mom c is 56yrs old, suffering from hypertension and gallbladder stone (several stones 12mm * 5mm) stone. C have one kidney from her birth onwards.. C have take treatment for hypertension. Can c fully recover from both disease in homeopathy treatment?.

doctor1 MD

Sorry it s so long! I am 27 yo female, 5 8, 135lbs. I have been dealing with nausea and pain between my rib cage near my LES on a daily basis for about 2 years. I gag daily, however, am rarely able to throw anything up. My original dr told me it was reflux and sent me home with prevacid, which did nothing. My symptoms are not consistent with food intake. I am an SLP and performed an informal barium swallow test on myself to see if I could see any reflux. My stomach appeared to be sagging near my hip bones and radiologist suggested a CT or ultrasound to rule out any tumors, etc. Ultrasound found gallstones, which my GI dr immediately assumed was the problem. My symptoms were not consistent with gallstones so I asked to have a few more tests run to rule out any other disorder. EGD came back positive for H.Pylori which was treated with no relief. Otherwise no remarkable findings. I reluctantly had my gallbladder removed May 28, 2010. I had no nausea for 2 weeks, but it has since returned. GI dr yesterday wanted to have another EGD and if nothing was found, said he would just treat symptoms. I find this unnecessary as nothing has changed since my last EGD in March. Drs wants to label me with the most common disorders they see. It s obviously something that may require a little critical thinking. I have frequent headaches, fatigue and hypothyroidism. PLEASE HELP!

doctor1 MD

What is the surgery for gallbladder removal like these days?

doctor1 MD

Have a 9mm gallstone lodged in the neck of the gallbladder . I have had some pain and nausea . Should I have surgery?

doctor1 MD

I'm male and 48 years old. I had blood work for a physical last week and everything was perfect except for a moderately elevated Alkaline Phosphatase at 214. All other liver enzymes, blood work, and urine were perfectly normal. I have no symptoms...