Doctor insights on:
Mrcp Vs Hida
Magnetic resonance cholangiopancreatography (mrcp) uses a strong magnet to obtain images of the biliary and pancreatic ducts. It is an alternative to the more invasive endoscopic retrograde cholangiopancreatography (ERCP) done with an endoscope. Mrcp can be used to visualize gallstones, bile duct narrowing and the structures surrounding the bile ducts. ...Read more
Since I had-: -pancreatitis, l have gone thu the screening process. Amylase is high sometimes, endoscopic ultrasound, MRI with IV contrast all have been done & all is clear. Had in Jan, 2016 & now have my final MRI with IV contrast on 1 NOV 2016. That's the workup after pancreatitis, as far as screening, I would feel amylase levels. The rest R costly 4 screening ...Read more
Hida EF 83% with sludge, pain is on left. yellow D, gas, bloating, CT scans are neg for pancreas. Is hyperkenetic gallbladder an option?
MRCP shows a distended gallbladder, numerous calculi, common bile duct up to 0.6cm, no evidence of choledocholithiasis, abdominal pain 2 mo. Surgery?
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. ...Read moreSee 1 more doctor answer
Abdominal ultrasound demonstrated mild intra and extra hepatic biliary dilatation. CBD: 1cm. MRCP demonstrated no ductal dil but pancr enlargement?
Pancreatitis: Mild ductal dilatation with a 1 cm. CD is mild. That there is pancreatic enlargement suggest probable inflammation. This would impinge on the CD as it passes to ampulla of duodenum. Farthest site ie mild duct enlargement fits picture. To R.O tumor a transduodenal ultrasound of pancreatic head would show a hidden lesion. Otherwise if needed, a PET/CAT could help. ...Read more
MRCP showed biliary stricture. No mass etc. Now having a ERCP. Afraid of biliary cancer. How common?
Low likelihood: Since the mrcp didn't show any mass there is a low likelihood of there being a biliary tract tumor. In my experience biliary strictures are not usually associated with cancer, but your gastroenterologist is much better qualified to answer your question. ...Read moreSee 1 more doctor answer
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
Whats percutaneous cholecystectomy? Whats transhepatic biliary catheter? Whats biliary stent? Are they effective alternatives to a cholecystectomy?
Possibly: Percutaneous cholecystostomy is a tube placed through the skin into the gb for drainage. Thbc is a tube passed through the skin, the liver, and into the bile duct system, a form of biliary stent. Some stents can be passed into the lower duct using an endoscope through the stomach. Any may be necessary in some cases, but cholecystectomy would be the gold standard in most cases. Good luck. ...Read more
Ct scan reveals mild diffuse fatty infiltration of liver.Galbladder is contracted-post prandial status pancreas is obscured by bowl gases.whats this?
Fatty liver: Hi. What was the indication for the abdominal CT? Elevated liver enzymes? The only objective abnormality there is the mild fatty liver (aka hepatic steatosis). The empty gallbladder is not a problem. The fact the pancreas can't be visualized well is probably not a problem unless the CT was being done to look for pancreatic pathology. Do you have type 2 diabetes? ...Read more
11yo with hida scan gallbladder ef 0.0% normal initial biliary scan no detectable gallbladder ef reproduced pain with cck what s this mean my child?
Gall bladder disease: Cck is natural hormone that stimulates gall bladder to contract. If ultrasound exam shows no calculi or gall bladder thickening, this uusally means gall bladder dyskinesia. Gall bladder does not contract normally causing pain and the ejection fraction is low. The cck should have been injected in a slow intravenous dose at time of study. Treatment usually involves consulting pediatric surgeion. ...Read moreSee 2 more doctor answers
Can you have a stone in bile duct if gb removed 15 yr ago? Us showed a poss 4mm stone. Mrcp showed dilated hep duct 14mm no stone. Awaiting results MRI with contrast. Ruq pain and nausea. Labs norm.
It's Possible: You can have a stone in your duct. It sounds like you are doing a good job getting it checked out. The main question is to understand your symptoms and your options for relief of those symptoms. Keep pursuing an answer. If it's not a stone, you want, at least, to know if you have something that's important to treat. ...Read moreSee 2 more doctor answers
In diagosing pancreatitis, which is more useful, MRI or CT? And are regular abodominal MRI and CT different from MRCP or HIDA scan?
Each has its place: CT is the standard study for demonstrating pancreatitis but usually it can be diagnosed by blood test and clinical exam. CT is usually reserved for looking for complications. It's faster & cheaper than MRI or HIDA. MRI & HIDA are used to look for causes of pancreatitis, like obstructed ducts. Most cases of pancreatitis require only simple ultrasound to rule out obstruction, and no other studies. ...Read more
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