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Posted on Mon, 30 May 2016 in Liver and Gall Bladder
Question: EXAMINATION: NUCLEAR MEDICINE HEPATOBILIARY SCAN WITH CCK

Clinical information: Right upper quadrant pain.

An advanced digital nuclear medicine hepatobiliary scan was performed following the injection of 6.39 mCi of Tc 99m-Choletec. Delayed images were obtained up to 60 minutes post injection. Subsequently 2.0 mcg of CCK was then injected with additional imaging and quantitative analysis. The gallbladder is identified on the 35 minute delayed film. The common bile duct is seen on the 15 minute delayed film. Radioactivity is noted in the small bowel on the 35 minute delayed film. The calculated ejection fraction is 18.6% which is below normal limits.

Impression: No evidence of acute cholecystitis. Decreased ejection fraction.

So how bad is this? Do I have cancer
doctor
Answered by Dr. Vivek Chail 2 hours later
Brief Answer:
You might have an underactive gall bladder

Detailed Answer:
Hi,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. Nuclear scan of your gall bladder has been done to study the pattern of radio isotope uptake and function.

2. There is no acute inflammation or cancer of your gall bladder.

3. The ejection fraction of your gall bladder is 18.6 percent which is low. This is a measure of contractility of the gall bladder. Normal ejection fraction is 35 to 60 percent. This means your gall bladder is slow in functioning. This is an underactive gall bladder and can be due to gall bladder dysfunction or chronic gall bladder inflammation.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6710 Questions

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