Is it generally just protocol for a general surgeon to do ct w/wout oral and iv contrast for dx acalculous cholestitis? hida labs and us nml- . scare

Yes It Is: Cat scan is considered a test of choice as you mentioned for diagnosing Acalculous Cholecystitis if Hida Scan and ultrasound are negative and the surgeon wants to confirm the Diagnosis as suspected.It gives the advantage of evaluating the entire chest and abdomen. To diagnose AAC with CAT SCAN neds 2major criteria or1major&2minor criteria A good Radiologist will often make the correct Diagnosis