Sample Type / Medical Specialty: Gastroenterology
Sample Name: Hepatobiliary Scan

Description: Right upper quadrant pain. Nuclear medicine hepatobiliary scan. Radiopharmaceutical 6.9 mCi of Technetium-99m Choletec.
(Medical Transcription Sample Report)


NUCLEAR MEDICINE HEPATOBILIARY SCAN

REASON FOR EXAM: Right upper quadrant pain.

COMPARISONS: CT of the abdomen dated 02/13/09 and ultrasound of the abdomen dated 02/13/09.

Radiopharmaceutical 6.9 mCi of Technetium-99m Choletec.

FINDINGS: Imaging obtained up to 30 minutes after the injection of radiopharmaceutical shows a normal hepatobiliary transfer time. There is normal accumulation within the gallbladder.

After the injection of 2.1 mcg of intravenous cholecystic _______, the gallbladder ejection fraction at 30 minutes was calculated to be 32% (normal is greater than 35%). The patient experienced 2/10 pain at 5 minutes after the injection of the radiopharmaceutical and the patient also complained of nausea.

IMPRESSION:
1. Negative for acute cholecystitis or cystic duct obstruction.
2. Gallbladder ejection fraction just under the lower limits of normal at 32% that can be seen with very mild chronic cholecystitis.

Keywords: gastroenterology, radiopharmaceutical, gallbladder ejection fraction, nuclear medicine hepatobiliary, hepatobiliary scan, quadrant, nuclear, technetium, choletec, ejection, fraction, cholecystitis, scan, abdomen, injection, gallbladder, hepatobiliary, medicine,