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Maybe. LFTs' in the 1000's is not cholecystitis. That is more like a CBD problem. So if she is symptomatic, maybe an ERCP maybe the way to go.... although sometimes you can see a dilated CBD on USD... if the obstruction is big enough.
Slightly off topic but actually US is great for diagnosing a CBD stone/obstruction. Generally the go to test (at least here), had exactly one patient this year get an MRCP and we didn't order it.
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