Question 1

the liver is normal in size but shows increased echogenicity compatible with fatty infiltration no focal lesions are seen. the gallbladder is adequately distended and contains no calculi. there is no biliary ductal dilatation. the kidneys are norma?

Accepted Answer

: And your question is??  Consider fatty liver if compatible with your history, exam and labs.

Question 2

good doctors i had ultrasound done. liver: the liver measures 15.5 cm. impression: 1. there are small polyps within the gallbladder. 2. no other acute changes are seen. what does this mean ?

Accepted Answer

: Liver size is somewhere at the upper limit of normal with no abnormalities, gallbladder polyps are relatively common and not likely to explain possible symptoms you have experienced. Your ultrasound was likely non diagnostic in case done looking for an explanation for your possible symptoms. Your main doc will be best to further clarify in proper clinical context.

Question 3

gallbladder without gallstones but with a few small hyperechoic nodules along its inner wall largest measuring 0.8 x 0.9 x 0.6 cm compatible with small polyps versus adenomyomatosis. no sxs. treat?

Accepted Answer

Up to you: General recommendation for polyps is observation and repeat ultrasound in 6-12 months if less than 1cm. If you're having pain, and you think it could be your gallbladder, consider a CCK-HIDA scan and pay attention to reproduction of pain with CCK administration. Or if classic symptoms, consider removing anyway. Consult w/ general surgeon may help.

Question 4

focal adenomatous chg seen in the epithelium, does not involve the margin on gall bladder pathology report, what does it mean? told results were norma

Accepted Answer

Benign growth: Adenomatous changes are benign, due to a "polyp" that does not have any more ominous or pre cancerous features.  If the gallbladder has been removed, then you have nothing to worry about here.

Question 5

if gallstones are small do they need to remove the gallbladder or can they beflushed out? thanks

Accepted Answer

Removed: The gall bladder needs to be removed to get the stones out.

Question 6

hi doctor
had an ultrasound of the liver, gallbladder, kidney and pancreas
there was echogenicity of the liver and the pancreas was not well seen?

Accepted Answer

Ultrasound: In cases like this your primary care physician should review the images with the radiologist who interpreted the studies and determine the differential diagnoses, recommendations for additional studies like liver biopsy,mri,etc  and suggestions for referrals to appropriate specialists like gastroenterologist or hepatologist.

Question 7

is your gallbladder seen during an upper endoscopy?

Accepted Answer

No: Not on endoscopy but if endoscopic ultra sound is used then can see it.

Question 8

should a small gallbladder polyp cause constant pain?

Accepted Answer

No: Gall bladder polyps should not cause any discomfort unless the are big enough to block the outlet to the gall bladder

Question 9

if there is a tumor behind the gallbladder not seen on imaging would they be able to see it during a lap?

Accepted Answer

Possibly : It depends on what you mean by imaging.  CT, MRI, ultrasound?  Also, when you say behind gallbladder do you mean in the liver or not.  A laparotomy should be a full exploration, but ultrasound can be used in an open abdomen also

Question 10

ok very scared. went to the er they said i have gallbladder sludge a small amount should i b worried can i die? what is going on wit me.

Accepted Answer

Not from this: gallbladder sludge or stones are very common.  If pain keeps coming back see a surgeon to remove gallbladder.   For now avoid fatty foods.

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Doctor answers about:

Small hypoechoic areas with a geographic configuration are seen adjacent to the gallbladder and are compatible wiht focal sparing

A member asked:

The liver is normal in size but shows increased echogenicity compatible with fatty infiltration no focal lesions are seen. the gallbladder is adequately distended and contains no calculi. there is no biliary ductal dilatation. the kidneys are norma?

A member asked:

Good doctors i had ultrasound done. liver: the liver measures 15.5 cm. impression: 1. there are small polyps within the gallbladder. 2. no other acute changes are seen. what does this mean ?

A member asked:

Gallbladder without gallstones but with a few small hyperechoic nodules along its inner wall largest measuring 0.8 x 0.9 x 0.6 cm compatible with small polyps versus adenomyomatosis. no sxs. treat?

A member asked:

Focal adenomatous chg seen in the epithelium, does not involve the margin on gall bladder pathology report, what does it mean? told results were norma

A member asked:

If gallstones are small do they need to remove the gallbladder or can they beflushed out? thanks

A member asked:

Hi doctor had an ultrasound of the liver, gallbladder, kidney and pancreas there was echogenicity of the liver and the pancreas was not well seen?

A member asked:

Is your gallbladder seen during an upper endoscopy?

A member asked:

Should a small gallbladder polyp cause constant pain?

A member asked:

If there is a tumor behind the gallbladder not seen on imaging would they be able to see it during a lap?

A member asked:

Ok very scared. went to the er they said i have gallbladder sludge a small amount should i b worried can i die? what is going on wit me.

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