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Interpretation<br />

• Nonvisualization of GB at 4hrs<br />

• Activity normally enters the GB passively from<br />

the ductal system. In acute cholecystitis, there<br />

is usually cystic duct obstruction preventing<br />

bile from entering the GB (90-95% of pts)<br />

• DDX: acute cholecystitis, s/p cholecystectomy,<br />

prolonged fast or recent fatty meal, chronic<br />

chlocecystitis (rare)

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