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Doctor insights on: Hida Scan Liver Disease

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Will liver disease or cirrhosis show up on an ultrasound? My US came back normal, I am having RUQ discomfort. Possible Hida scan next.

Will liver disease or cirrhosis show up on an ultrasound? My US came back normal, I am having RUQ discomfort. Possible Hida scan next.

Most of the time: Ultrasound can detect many of the morphologic changes of cirrhosis, but is not 100%. In one study, ultrasound detected those findings in about 90% of patients with known cirrhosis. Early liver disease may not show up on imaging, however. If you are getting a HIDA scan, they are probably looking at your gallbladder and biliary system specifically.

Dr. Milroy Samuel
2 Doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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How's liver disease found? Pain under right rib. US, CTscan, HIDA, colonoscopy, endoscopy all normal. Tbili 1.5, Dbili 0.2, rest normal. Is it liver?

How's liver disease found? Pain under right rib. US, CTscan, HIDA, colonoscopy, endoscopy all normal. Tbili 1.5, Dbili 0.2, rest normal. Is it liver?

No: Indirect bilirubin is a bit up but you probably have Gilbert's or mild hemolysis; your meds don't suggest drug cholestasis and I'd consider liver disease ruled out as the cause of your discomfort as long as the imaging folks can rule out biliary sludge. Some physicians believe that gallbladders can have abnormal movements and produce cramps, or you may never find the cause.

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Had hida scan that showed smoothly marginated large area of photopenia involving the liver dome. Us was ok, but before hida. Should more be done?

Radiologist: In cases like this I believe that your physician should sit down with the radiologist who interpreted your studies and ask what the different possibilities are, what further studies, if any, would be advisable and whether referral to a specialist (hepatologist or surgeon), or repeating the same study in the future are indicated..

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Does a HIDA scan show if I have liver or digestive problems?

Sometimes liver: HIDA test shows mainly gall bladder functioning and status of biliary ducts. Gross evaluation of hepatocellular function is also seen on test by the way liver extracts radiopharmaceutical from bloodstream.

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Does a HIDA scan study the liver and the gallbladder, or just gallbladder and bile ducts?

Does a HIDA scan study the liver and the gallbladder, or just gallbladder and bile ducts?

Liver GB and ducts: A hepatobiliary (HIDA) scan is an imaging procedure used to diagnose problems in the liver, gallbladder and bile ducts. In the HIDA scan, a radioactive chemical or tracer is injected into a vein in your arm. The tracer is like bile and works same as bile secrete from liver and go to gall bladder and then to bile ducts and to intestine. a gama camera takes the picture and functions are assessed

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So I got a hida scan my gallbladder isn't functioning recommended surgery my question is would this cause my blood work to show elevated liver emzymes?

So I got a hida scan my gallbladder isn't functioning recommended surgery my question is would this cause my blood work to show elevated liver emzymes?

HIDA Scan: If your HIDA scan showed poor gallbladder emptying, that doesn't necessarily mean you will have abnormal liver function tests. Your gallbladder isn't contracting very well, causing distention and pain. This doesn't effect bile flow from your liver. If there is associated inflammation (diagnosed by ultrasound), then there may be a slight elevation of some of your liver function tests.

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During hida scan gallbladder did not release to the small intestine within 1 hour. After cck was given it released. Does it mean liver problems?

During hida scan gallbladder did not release to the small intestine within 1 hour. After cck was given it released. Does it mean liver problems?

Not usually liver: If hida was excreted normally by liver and gall bladder visualized at normal time the liver is normal. Sometimes gall bladder dyskinesia can affect gall bladder emptying. The more important finding is the amount of activity excreted after cck (gb ejection fraction, normal usually above 35%) and symptoms encountered during this phase of study.

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What does early homogeneous uptake of isotope within liver on a hida scan. Is this ok? Also saod depressed gallbladder ejection fraction 10%

What does early homogeneous uptake of isotope within liver on a hida scan. Is this ok? Also saod depressed gallbladder ejection fraction 10%

Normal: A hida scan is a gallbladder function test. The first medication is able to be followed as it goes through. The first thing seen is uptake by the liver. The liver takes the isotope out of the blood and dumps it in the bile. Once we see it in the gallbladder and bowel a 2nd med is given to tell the gb to work. The 10% is a decreased function of your gall bladder. Should be 50% +. See surgeon.

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I've had chronic nausea since 1/13. Hida scan showed ef of 11%, so had a lap chole 8 weeks ago. Still nauseous constantly. Liver/pancreas ok. Normal?

I've had chronic nausea since 1/13. Hida scan showed ef of 11%, so had a lap chole 8 weeks ago. Still nauseous constantly. Liver/pancreas ok. Normal?

Need G I Workup: Biliary dyskinesia with a low ejection fraction of gall bladder certainly can cause symptoms similar to gall stones. If your symptoms are not better after surgery you should look for problems in stomach itself like gastritis and h pylori infection that may need a course of antibiotic treatment. See your gastro-enterologist for further workup.

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Can GERD, esophogitis and Gilbert's syndrome cause upper right quadrant pain? Hida scan normal lab for liver and pancreas normal?

Yes: The Gilbert's syndrome is an essentially normal variant for some people and does not cause pain. However, if you have GERD and know esophagitis, you can experience this as right upper quadrant pain. Often those findings are associated with dysbiosis and this abnormal bowel kinesis causes the pain.

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Hida scan shows low function only had one attack family physician and surgeon says surgery needed liver emzymes were also elevated ultra sound normal?

Surgery may help: The HIDA scan you describe sounds like there was stimulation of the gallbladder to contract. Normal values are usually 35% or more. When that doesn't happen thereay be symptoms. There have been many patients tell me after surgery they feel great. A few have told me otherwise. Both your doctor and surgeon think this will help. Worth listening to them

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Hida scan shows low activity only had one attack and it was after stomach virus also my liver enzymes where elevated. Is surgery really necessary?

Hida scan shows low activity only had one attack and it was after stomach virus also my liver enzymes where elevated. Is surgery really necessary?

ACALCULOUS CHOLECYST: ACALCULOUS CHOLECYSTITIS or gallbladder inflammation without stones can be tough to treat. I recommends gluten free low fat diet. Gutbliss. Com. Whole approach. Com. If symptoms flare more than 2x a year surgery can be done laparoscopically.

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Could a Hida scan and Ct scan miss something wrong with the gallbladder? Upper right quadrant pain. Normal lab values for liver kidneys and pancreas?

Unlikely: While no test is perfect; a normal HIDA essentially shows that the gallbladder is functioning well. There are " quantitative" HIDA scans that are more sensitive than a regular scan. It is more likely that your pain is not from the gallbladder (often difficult to exactly pin down, but you are unlikely to get improvement having the gallbladder removed.

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CT/MRCP shows inflammation of gallbladder, liver and spleen. Sev RUQ pain. 18yo. ANA positive, IgG low, no stones. Dr ordered hida scan. Ideas?

CT/MRCP shows inflammation of gallbladder, liver and spleen. Sev RUQ pain. 18yo. ANA positive, IgG low, no stones. Dr ordered hida scan. Ideas?

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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I've had a CT and us of the abdomen and it was ok and I had a hida scan show gallbladder at 9%. No stones. What eventually happens? Complications?

I've had a CT and us of the abdomen and it was ok and I had a hida scan show gallbladder at 9%. No stones. What eventually happens? Complications?

Your choice...: Your cck-hida indicates gallbladder dysfunction, which often translates to mean a symptomatic one that warrants surgical removal. There are lots of reasons however for biliary-type dyspepsia, and you may want to investigate these before considering surgery. Indeed, your symptoms may persist even if the gallbladder is removed, since it may turn out it wasn't the sole reason for your distress.

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Having pain in upper abdomen. Negative for gallstones and normal hida scan. What else could it be?

Having pain in upper abdomen. Negative for gallstones and normal hida scan. What else could it be?

GI: Next step in workup would be to see a gastroenterologist for further workup. They will need to rule out stomach ulcers, pancreatitis, etc...

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Gallstones seen on u/s & having severe pain in my abdomen however HIDA scan came back normal, is it possible pain is still related 2 gallbladder?

Gallstones seen on u/s & having severe pain in my abdomen however HIDA scan came back normal, is it possible pain is still related 2 gallbladder?

Yes: Standard HIDA scan will generally be abnormal only in the setting of cholecystitis. If you have pain due to gallstone attack/biliary colic, or functional gallbladder disorder/gallbladder dyskinesia, the standard HIDA may be normal.

Dr. Joseph Accurso
311 Doctors shared insights

Hida Scan (Definition)

Patient is injected intravenously with isotope tagged to chemical hida that is extracted preferentially by liver cells mimicking bile. Some of this is stored in gall bladder and some enters small bowel from common bile duct. Cholecystokinin is a natural hormone slowly injected intravenously to stimulate gall bladder contraction. Normal function has at least 50% ...Read more


Dr. Anne Larson
1,595 Doctors shared insights

Liver Diseases (Definition)

Liver disease = hepatic disorder = condition associated with ...Read more