Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor, My Mother (Age : 56 yrs) has been diagnosed that her liver is mildly enlarged in size (15.6 cm) and also mild increase in echotexture, Proximal CBD is dilated and measures 9mm. she had a surgery for gall bladder stone 9 yrs ago. She also experiences slight pain under her right rib cage. she is also undergoing treatment for high cholesterol and sometimes after taking any pills she gets pain in the liver area. The Doctor did endoscopy and scanning but was unable to determine the cause. Please advise as what might be the cause and treatment for this enlarged liver?
[|AI|]  Hi.noted history of gallbladder surgery and recent ultrasound results. The patient may be having a case of recurrent stone causing the obstruction somewhere along the hepaticopancreaticobiliary tree area. This obstruction causes the presenting symptoms. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ERCP, ct-scan, blood exam, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!! ~ Chat Doctor.