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A 34-year-old woman with a history of cholelithiasis and biliary colic underwent laparoscopic cholecystectomy. There was no history of jaundice or pancreatitis, so cholangiogram (see cystic duct cholangiogram) was not performed. She returned to the hospital on post-operative day two complaining of right upper quadrant pain, anorexia and nausea. Her bilirubin was 1.2. HIDA scan was performed. The initial images show concentration of the isotope in the liver and excretion into the common bile duct.