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Here's the gall bladder results of my non-contrast MRI: What does this mean? Is this removal?

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james13344
james13344

Here's the gall bladder results of my non-contrast MRI: What does this mean? Is this removal? (Note: they couldn't get a vien to inject contrast to get better picture). I may have to have another MRI?

IMPRESSION:

1. The

gallbladder is contracted with mildly thickened wall.

Additionally the cystic duct

is either collapsed or occluded. There is

no active pericholecystic

inflammation or fluid evident. This may be

the result of chronic

acalculous cholecystitis, prior inflammatory

process involving occlusion of

the cystic duct, or less likely a

biliary neoplasm. Nuclear medicine

hepatobiliary scan could further

assess the degree of biliary dysfunction. A

contrast-enhanced

examination could potentially addressed the

possibility of neoplasm.

With ongoing symptoms, surgical consultation

may be appropriate.

Urgency:

Routine. This is a routine medical imaging report.

Recommendation: See

comment.

Comments:

I am writing this letter regarding your MRI of

the abdomen:

The results of your MRI show the gallbladder is

contracted with mildly thickened wall. The cystic duct is

either collapsed or occluded. There is no active

pericholecystic inflammation or fluid. Based on this

knowledge, I am recommending referral to surgery for your

gallbladder. I have put a referral in to the surgical

department. A staff member will call you to set up a

surgical consultation appointment.

0 likes, 5 replies

5 Replies

  • tommyboy77
    tommyboy77 james13344

    Posted

    Reading it sounds like they want you to see a surgeon to have it removed.
  • paula89710
    paula89710 james13344

    Posted

    Don't know why they even bothered to give you that report, all it does is stress you out.  Make an appointment with a surgeon and he will go over everything.  Do not delay.  I just had my gall bladder out 10 days ago, I had no complications and it was an elective surgery but I did not hesitate because both my doctor and the surgeon said it must come out.  You do not want to wait until a stone gets lodge in your bile duct and then you will have unneccesary invasive procedures that will take much longer to heal.  Surgery is a breeze, I was walking and sitting in the sun the afternoon of surgery though I did do nothing for a few days.  I feel fantastic right now and am so thankful I did not wait until it was an emergency
  • james13344
    james13344

    Posted

    And here is the ultra sound report: Hope it's not cancer but I did work with chemicals such as TCE, Methol Chloride, and Cupric Chloride when I worked at a computer company in manufacturing: Procedure(s): US ABDOMEN LIMITED

    Date of service: 9/12/2015 11:03 AM

    Provided clinical information: 59 years, Male, "right upper quad pain

    and pain into right flank area, diarrhea"

    Procedure and materials: Standard protocol.

    Potential limitations: None.

    Comparison studies: None.

    Observations:

    LIVER:

    Size: Normal.

    Echogenicity: Normal echogenicity.

    Contour: Smooth.

    Masses or cysts: None.

    Vasculature: Hepatic vasculature is patent with normal directional

    color Doppler flow.

    INTRAHEPATIC BILE DUCTS: No intrahepatic biliary ductal dilation.

    COMMON BILE DUCT: 0.4 cm. Normal.

    GALLBLADDER:

    Gallbladder wall: 0.3 cm. Borderline thickened although the

    gallbladder is contracted.

    Cholelithiasis: Multiple tiny shadowing echogenic stones layering

    within the lumen.

    Pericholecystic Fluid: None.

    Pain over gallbladder at exam: Absent.

    PANCREAS:

    Appearance: Well visualized portions are grossly normal.

    RIGHT KIDNEY:

    Size: 9.1 cm.

    Appearance: The kidney is normal echogenicity. Cortical thickness is

    preserved.

    Mass/Cyst/Stone: None.

    Hydronephrosis: None.

    Vasculature: Color Doppler assessment of the hilum is unremarkable.

    PERITONEUM: No visible ascites.

    Impression:

    1. Cholelithiasis with contracted gallbladder. No specific evidence of

    acute cholecystitis or biliary obstruction. If there is concern for

    gallbladder dysfunction, consider follow-up with a nuclear medicine

    hepatobiliary scan.

    Urgency: Routine. This is a routine medical imaging report.

    Recommendation: No specific imaging recommendation.

  • james13344
    james13344

    Posted

    Well, My gall bladder was doing very well for two or three weeks and then this past couple weeks I slowly returned to normal diet which included eating meats, chocolate, and doing chores around the house. (plus exposure to me Mom's cig. smoke). I also started drinking less water. You guessed it, the gall bladder pain came back lst night. Interesting that before that occured, I had slight indigestion which is not typical. Also gas is increasing. Meet with surgeon on 11/11 to see what he says.
    • james13344
      james13344

      Posted

      Also my skin started getting itchy before the gall bladder attack. (pain in upper right back) Anyone get itching. Seems like I read it can be associated with intestinal problems. Something about elevated biliruben perhaps?
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