What is the implication if the gallbladder is not seen within 1 hour of injecting a derivative of Tc-99m IDA, such as DISIDA or HIDA, but is seen within 30 minutes of morphine administration (or within 4 hours of injection on studies without morphine)?

What is the implication if the gallbladder is not seen within 1 hour of injecting a derivative of Tc-99m IDA, such as DISIDA or HIDA, but is seen within 30 minutes of morphine administration (or within 4 hours of injection on studies without morphine)?

Acute cholecystitis is excluded; although this finding is nonspecific, diagnostic considerations include normal physiology and chronic cholecystitis.