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Doctor insights on: Gallstones Ultrasound

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Dr. Michael Gabor
2,270 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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Will a nuclear hida scan show pancreatic stones or bile duct stones?

Will a nuclear hida scan show pancreatic stones or bile duct stones?

No: Hida scan is a functional exam to reveal if the bile duct is blocked by a stone or tumor. If blockage is suspected by the results, an MRI of the bile ducts (mrcp) is frequently the next step to visualize the blockage. ...Read more

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Latest abdominal ultrasound reveals well distended gallbladder, fatty liver, mild gallbladder wall thickening.But lft normal.No pain.What can this mean?

Latest abdominal ultrasound reveals well distended gallbladder, fatty liver, mild gallbladder wall thickening.But lft normal.No pain.What can this mean?

Why did you get US?: If lfts are normal, and no pain, why get us? Fatty liver means more fat stored in liver than normal, usually due to metabolic reasons - overweight, diabetes, alcohol overuse/abuse. Gallbladder wall thickening is a weak sign of gallbladder disease in people with pain or tenderness - in this case it probably means the gallbladder could distend even more than it was. ...Read more

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Do hida scans always show gall bladder issues?

Do hida scans always show gall bladder issues?

Ultrasound first.: A hida scan is a functional test. It should be performed after u/s which is a first line imaging tool for biliary disease. In the setting of a negative u/s and hida, the likelihood of significant biliary diseae is extremely low. ...Read more

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Had ultrasound that indicated gall stone foci (6mm). Liver and gall bladder normal. no pain. Coded as cholestasis. Why not say minor gall stones?

Had ultrasound that indicated gall stone foci (6mm).  Liver and gall bladder normal. no pain.  Coded as cholestasis.  Why not say minor gall stones?

Coding error?: I agree. Sounds like the more appropriate ICD-10 code for your finding was K80.20 = Calculus of gallbladder w/o cholecystitis w/o obstruction. Perhaps your provider has however other data that supports a diagnosis of cholestasis (K71.0, K83.1). ...Read more

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RUQ&MidbackPain fromMar15 Abd.CT-Aug15/USound-Sep15/MRI-Nov15each show liver hemangioma13mm,no gallstones Endo/ColonosSep15-nothing CckHIDA-Mar16-12%?

RUQ&MidbackPain fromMar15
Abd.CT-Aug15/USound-Sep15/MRI-Nov15each show liver hemangioma13mm,no gallstones
Endo/ColonosSep15-nothing
CckHIDA-Mar16-12%?

Endoscopic ultra--: --sound is the only procedure that may aid in a diagnosis. Relatively new, so not many trained to perform it. I'm having it done after a bout of pancreatitis, where no cause was found. ...Read more

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Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Give indication: Xr, and anything without direct visualization give an indication as to what is suspected. The symptoms, the exam and the history makes a doctor arrive at a diagnosis as the most likely thing. If in doubt, then direct visualization needed. I hope that gives you reassurance. ...Read more

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Would an abdominal ultrasound show kidney cancer?

Would an abdominal ultrasound show kidney cancer?

It might: Ultrasound is one of the techniques that can be used to evaluate a kidney tumor or abdominal pain in general; however, the most commonly used method to specifically assess a kidney tumor is ct scan. ...Read more

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Liver enzymes normal history kidney stones pain right side why ultrasound?

Liver enzymes normal history kidney stones pain right side why ultrasound?

Easy and safe: Ultrasound is very safe and easy, and it can tell you if there is something wrong with your kidney (stone, dilated collecting system, etc). It can also look at the liver, if needed, at the same time. It is an excellent first step to visualize a problem. If you get an answer, you're done, and you don't have to go through a ct, mri, etc. ...Read more

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Can normal CT scan, stool and blood tests, colonoscopy, gallblader us and hida scan, upper endoscopy (gerd, gastritis) rule out pancreatic cancer?

Can normal CT scan, stool and blood tests, colonoscopy, gallblader us and hida scan, upper endoscopy (gerd, gastritis) rule out pancreatic cancer?

Only one of those : Most of those tests won't tell you anything about pancreas. Only one is ct scan.A perfectly normal ct with IV contrast goes a long way in saying you have a normal pancreas.Mri might give more info but not usually a screening test. ...Read more

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Describe an ultrasound procedure for kidney stones?

Describe an ultrasound procedure for kidney stones?

Easy peasy: Usually you will be asked to come with a full bladder. Gel will be placed on your skin and a tech will place a small device over the gel to take pictures, typically of your bladder first. It is painless. Then, you will likely be asked to empty bladder, then kidneys will be imaged same way. If you have ever seen a pregnant woman get an ultrasound it is the same thing, just in a different area. ...Read more

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Could an abdominal/pelvic CT scan without contrast (ordered for ureteral stones) detect ovarian cancer also?

Could an abdominal/pelvic CT scan without contrast (ordered for ureteral stones) detect ovarian cancer also?

MAYBE: Although a contrast-enhanced ct--or, better still, a pelvic ultrasound--are preferred methods for visualizing the ovaries, a non-contact ct would likely show nonspecific irregularities of the ovaries. Bottom line: pelvic ultrasound is the best choice for visualizing ovaries. ...Read more

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Can ultrasonic abdomen scan miss appendicitis?

Can ultrasonic abdomen scan miss appendicitis?

Possibly: It is possible that ultrasound may not be diagnostic for appendicitis. It depends on the tech performing the exam, the patient's body size/habitus, the amount of bowel/stool present, the age of the patient, the location of the appendix, whether free fluid is present, and the confidence of the interpreting radiologist. ...Read more

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Hida scan 53%/great deal pain nausea and gall bladder symptoms but tests normal? Gallbladder removal help?

Possibly: The symptoms you have are characteristic of problems with the biliary tree, but the area is more complex that just the gallbladder. However, the tests required to try to figure it out come with a certain amount of risk; often a higher risk profile than removing the gb first and eliminating this as a contributing factor. If the us was also normal, i would recommend an endoscopy before gb removal. ...Read more

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Would an abdominal CT scan show a gallstone or blocked bile duct?

Would an abdominal CT scan show a gallstone or blocked bile duct?

Possibly: The best gallbladder test is an ultrasound of the abdomen, and if there is concern for a blockage, a HIDA scan (pronounced hide-a) may be ordered. This HIDA scan will also show if the gallbladder is functioning normally. If there is abnormal function one can have symptoms even if no gallstones are present. CT can miss most of this, so its not ordered as a first test if gallbladder a concern. ...Read more

Dr. Barry Rosen
977 doctors shared insights

Gallstones (Definition)

Stone-like deposits of bile in the gallbladder that are made from accumulation of cholesterol or bilirubin. Most gallstones are asymptomatic, however complications of gallstones include inflammation of the gallbladder, and blockage of ...Read more