Conversation: The conversation between human and AI assistant.
[|Human|] My brother in law was having Jaundice since last 25-26 days and was advised Ultrasound of Upper Abdomen.The Ultrasound Report says :Ill-defined heterogeneous echotexture mass lesion (size 48x43 mm) at the biliary confluence causing dilatation of proximal right and left biliary duct and intrahepatic intra hepatic biliary radicles, contracted and mildly diffusely thickened walled and calculus at neck region with minimal sludge in its lumen.Mild Ascites.What does it mean? Is he having Lever Cancer at last stage? That is that somebody told me.
[|AI|]  Hi, After going through available history, he is having Jaundice and it is obstructive jaundice possibly due to calculus or mass lesion. You have not mentioned liver enzyme and Bilirubin level as high alkaline phosphatase level PTO wars obstruction to bile flow. Please visit a Gastroenterologist, and he needs further investigations like CT scan of abdomen, and Tumor markers like Alpha Fetoprotein and Carcinoembryonic antigen to confirm diagnosis. Even Endoscopic retrograde cholangiopancreatography (ERCP) will be very useful in diagnosis and treatment as if stone can be removed and bile flow is restored. If there is stricture and in that case dilatation and stent can be placed. With available information even diagnosis of cancer is questionable, be hopeful it is not last stage, so hopefully this information helps and further investigation and treatment will be helpful to him. Take very good care of him. Good Luck. Chat Doctor. D.