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Doctor insights on: Hida Scan Normal Range

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Dr. Charles Cattano Dr. Cattano
Internal Medicine - Gastroenterology
35 years in practice
State University of New York Upstate Medical University
1

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My HIDA scan results show 30% functioning and I was told it was not within the normal range yesterday after the scan. My doc. Np says this is normal?

My HIDA scan results show 30% functioning and I was told it was not within the normal range yesterday after the scan. My doc. Np says this is normal?

Borderline result?: Surgeons may consider cholecystectomy appropriate to your symptom presentation and database (lab results, other x-rays, exam). Certainly if your liver tests are abnormal further liver/biliary testing will likely be recommended. See your doctor who can direct you to the next appropriate test.

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Dr. Joseph Accurso
309 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. Carl Decker Dr. Decker
Radiology
20 years in practice
George Washington University Medical School
2

2
Is hida scan of 94 % normal?

Is hida scan of 94 % normal?

EF>35% normal: A gallbladder ejection fraction of greater than 35% is considered normal.

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Dr. Virginia Klaas Dr. Klaas
Nuclear Medicine
28 years in practice
Keck School of Medicine of University of Southern California
3

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What does normal low results mean on a hida scan?

Still normal range: Low normal means the results are still in the normal range, but tend to fall near the lower end of a normal curve.

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Dr. Michael Gabor Dr. Gabor
Diagnostic Radiology
29 years in practice
University of Connecticut School of Medicine
4

4
Still having pain after hida scan is this normal?

Pain at the: Injection site or abdominal pain? A standard HIDA scan should not induce abdominal pain. If you also received a CCK injection to check the gallbladder ejection fraction, however, it could cause temporary pain.

Dr. David Ziring Dr. Ziring
Pediatrics - Gastroenterology
18 years in practice
George Washington University Medical School
5

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What about a result of 95%? for hida scan is this still normal?

HIDA scan: If you are describing the fraction of gallbladder emptying, 95% is fine. There may be other causes for pain in the upper right abdomen.

Dr. Roy Arnold Dr. Arnold
Internal Medicine
43 years in practice
University of Alabama School of Medicine
6

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GBER on HIDA scan was 1.25% and GBEP was 4 minutes. Is this normal?

GBER on HIDA scan was 1.25% and GBEP was 4 minutes. Is this normal?

ER abnormal: On a HIDA scan an ejection ratio of 40% or greater is normal. ER of 1.25% is very low. This usually indicates gallbladder disease. Thanks for trusting HealthTap!

Dr. Edward Druy Dr. Druy
Radiology
49 years in practice
Yale University School of Medicine
7

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I got a Hida scan and it showed 41%. Is this normal or should it be concerning?

No: It sounds like you had a CCK test with the Hida scan which is used to determine gallbladder function. The cutoff for the "ejection fraction" or the ability of the gallbladder to contract is considered to be 35%. Thus your ejection fraction, while on the low side, would still be within the range of normal.

Dr. Gerald Mandell Dr. Mandell
Nuclear Medicine
48 years in practice
Jefferson Medical College of Thomas Jefferson University
8

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Us and. Hida scan all normal, except did show sludge, but I still have all the symptoms and the pain, now what? Getting frustrated

Us and. Hida scan all normal, except did show sludge, but I still have all the symptoms and the pain, now what? Getting frustrated

Probably not gb: Sludge or gravel in gall bladder does not usually cause symptoms and can disappear with time. Endoscopy, blood tests, and other imaging testing can examine stomach, large bowel and small bowel for possible contribution to your symptoms. Abdominal symptoms can be related to stomach, pancreas, liver etc. Another option is to follow gall bladder diet with elimination of certain foods to see if helps.

Dr. Robert Uyeda Dr. Uyeda
Surgery
41 years in practice
Boston University School of Medicine
9

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Am having gallbladder symptoms but labs and ultrasounds are normal why? Get hida scan on monday

Am having gallbladder symptoms but labs and ultrasounds are normal why? Get hida scan on monday

Diagnostic tests: Are helpful only when they are positive. If you have typical gallbladder symptoms, it could still be the problem. If all studies are negative, consult a GI specialist.

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Dr. Raymond Taillefer Dr. Taillefer
Nuclear Medicine
38 years in practice
University of Montreal Faculty of Medicine
10

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Results were normal from an ultrasound and hida scan, what else can I do to figure out what's wrong?

Results were normal from an ultrasound and hida scan, what else can I do to figure out what's wrong?

other G.I problems: If the ultrasound and hida scan are completely normal, it is very likely that you do not have any biliary tree problems. However, many other diseases may mimic some hepatobiliary diseases such as ulcers or inflammation of the oesophagus, stomach or duodenum. Blood tests may also be useful to rule out the presence of h.Pilori which may cause similar symptoms.

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Dr. Raymond Gagliardi Dr. Gagliardi
Surgery
24 years in practice
The Ohio State University College of Medicine
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Is it possible to have abnormal hida scan, but watch diet and live a normal healthy life without having gallbladder removed?

Is it possible to have abnormal hida scan, but watch diet and live a normal healthy life without having gallbladder removed?

Yes: A radionuclide scan (hida, pipida) is a study of the function and emptying of the gallbladder. We typically think of abnormal results as less than 35 or 40%; however, I have seen many patients with bilary pain with "normal" results as well as patients with abnormal results but essentially no symptoms. The best place for hida is in concert with other tests (blood, u/s, physical exam.

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Dr. Gerald Mandell Dr. Mandell
Nuclear Medicine
48 years in practice
Jefferson Medical College of Thomas Jefferson University
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I just had my HIDA scan results come back. The percentage is 76%, is this normal or is that considered an over active gallbladder?

I just had my HIDA scan results come back. The percentage is 76%, is this normal or is that considered an over active gallbladder?

Normal: Usually greater than 35% gb ejection fraction is considered normal. In some labs hyperkinetic gall bladder is contemplated when ejection fraction greater than 80%.

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Dr. Larry Wilf Dr. Wilf
Nuclear Medicine
30 years in practice
Medical College of Pennsylvania
13
Dr. Rex Mahnensmith Dr. Mahnensmith
Internal Medicine
40 years in practice
Yale University School of Medicine
14

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Having intermittent gallbladder attack symptoms, normal ultrasound (no stones), HIDA scan showed GBEF: 90%. Is this a high number? Problematic?

Having intermittent gallbladder attack symptoms, normal ultrasound (no stones), HIDA scan showed GBEF: 90%. Is this a high number? Problematic?

Gall bladder: The ultrasound and gbef are reassuring. Yes normal. Do your best to eliminate fatty foods. No chocolate either. You may have crystals forming. Achieve ideal wt. Eat smaller meals.

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Dr. Erica Cohen Dr. Cohen
Nuclear Medicine
7 years in practice
15

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Is it normal to have bad diarrhea after a hida scan? They gave me an injection and a thick liquid?

Is it normal to have bad diarrhea after a hida scan? They gave me an injection and a thick liquid?

Probably unrelated: The injection you received should not cause any side effects. I am not sure exactly what liquid you had, but it was most likely something high in fat concentration (ex: half-and-half creamer) to stimulate the gallbladder. If you are sensitive to fatty/milk-based foods, this is the most likely explanation.

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Dr. Gerald Mandell Dr. Mandell
Nuclear Medicine
48 years in practice
Jefferson Medical College of Thomas Jefferson University
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Hi doctors, was just wondering what is a normal ejection fraction %age on a hida scan? What's good, what's bad?

Hi doctors, was just wondering what is a normal ejection fraction %age on a hida scan? What's good, what's bad?

Greater than 35%: Normal ejection fraction in adults usually is greater than 35%. Significance of ejection fractions has to be compared to clinical signs and symptoms of patient.

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Dr. Mark Hoepfner Dr. Hoepfner
Surgery
35 years in practice
University of Washington School of Medicine
17

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Gall Bladder EF was 15% 3 years ago and I just had a HIDA scan repeat... It was 63%. Does this mean I'm normal now?

Gall Bladder EF was 15% 3 years ago and I just had a HIDA scan repeat... It was 63%. Does this mean I'm normal now?

Depends: On what you mean being "normal." But yes, your HIDA scan is now normal. These tests tend to be highly variable & the results can change from one day to another. If you have no gallstones on ultrasound, then your gallbladder is functioning normally at this time.

Dr. Gerald Mandell Dr. Mandell
Nuclear Medicine
48 years in practice
Jefferson Medical College of Thomas Jefferson University
18

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I have had a ctscan. Hida scan and stress test all normal but still pain in middle chest. Right side. Is ef 89 normal for hida scan?

I have had a ctscan. Hida scan and stress test all normal but still pain in middle chest. Right side. Is ef 89 normal for hida scan?

Hyperkinetic gb: Most physicians in nuclear medicine and gastroenterology believe that increased ejection fraction of gall bladder is probably normal (above 35%). A well known nuclear physician reported small group of patients with hyperkinetic gall bladder (above 80% ejection fraction) getting relief with removal of gb. More studies needed to convince most surgeons.

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Dr. Addagada Rao Dr. Rao
Surgery
52 years in practice
Andhra University, Guntur Medical College
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I have all the classic symptoms of a gallbladder problem. But my ultrasound and HIDA scan were normal. HIDA scan 94 percent. What else can cause?

I have all the classic symptoms of a gallbladder problem. But my ultrasound and HIDA scan were normal. HIDA scan 94 percent. What else can cause?

There are several: Other diseases that mimic gall bladder problems, discuss with your doctor, make sure you see your gynecologist infection from your tubes will cause adhesions around liver will mimic GB symptoms

Dr. Scott Schneider Dr. Schneider
Surgery
23 years in practice
Wayne State University School of Medicine
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What can a hida scan find that an ultrasound cannot find? Aren't there multiple things other than gallbladder dysfunction? Ultrasound was normal.

What can a hida scan find that an ultrasound cannot find? Aren't there multiple things other than gallbladder dysfunction? Ultrasound was normal.

A lot.: After the tracer is injected into a vein, it must circulate to the liver. The liver must remove it from the blood and put it into the bile, liver circulation and function assured. The tracer, now in the bile, travels through the bile system and into the gall bladder, checking patency of these. A gall bladder stimulant can be used to measure gall bladder function and ejection out into bowel.

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