<human>: Following Nuclear Medicine Hepatobiliary Scan the following impressions were noted:  No evidence of Acute Cholecystitis is identified.Mildly diminished gallbladder ejection fraction of 22%.  Findings can be seen in the setting of Biliary Dyskinetic Syndrome or Chronis Cholecystitis. I have a lot of pain, especially in the A.M. in upper right quatrant and often under right shoulder blade.  Would you recommend surgery to remove gallbladder?
<bot>: Hi there, I see a lot of patients who have biliary dyskinetic, and usually I'll recommend surgery to remove the gallbladder to anyone who has an ejection fraction of less than 25% on a HIDE scan (nuclear medicine scan).  Since you're having symptoms of pain, and you have a HIDE that's consistent with biliary dyskinetic, I would recommend surgery to remove your gallbladder. I hope this answers your questions. Please feel free to contact me should you have any further questions.