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A 55-year-old female asked:

Ct/mrcp shows inflammation of gallbladder,liver and spleen. sev ruq pain. 18yo. ana positive,igg low, no stones. dr ordered hida scan. ideas?

2 doctor answers3 doctors weighed in
Dr. John Chiu
Allergy and Immunology 58 years experience
See rheumatologist: You appear to have an autoimmune and/or immune deficiency problem. I note that you are already on Plaquenil (hydroxychloroquine) (SLE?). If you are already under the care of a rheumatologist, consider getting an immune evaluation as well because of the low IgG (how low?). If the problem progresses, you need to go to an university center for further workup.
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Dr. Dennis Ruditser
Internal Medicine 10 years experience
Biliary disease.: You're doctor is looking for evidence of cholecystitis (infection of the gallbladder) or any obstruction in the bile ducts. Cholecystitis can occur without a gallstones which is known as 'acalculus cholecystitis.' Any liver disease or IBD (crown's or UC)?
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Feb 3, 2018

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