instruction: hello dear doctor my mother had a issue about her abdomen it has been or maybe nearly month she is felling an unusual pain in the abdomen which is accompanied by bloating and severe intestinal gas we saw an expert doctors one of them said the gallbladder is oily after seeing the result of the ultrasound and another doctor said the bile duct is dilated and due that he recommend us to take mrcp image and we did that and receive images but due to corona virus outbreak and especially my mother age which is 54 years old we afraid to go to hospital and show that to the doctors which recommend us to do mrcp and we cant make online contact with him maybe to be helpful and for more information my mother has been using opium for 25 years I will really appericiate if you help us thank you for your attention best regard
output: dear great to meet you welcome I reviewed the history and mrcp report of your mother oily liver or gall bladder is not an issue her biliary ducts are dilated but the is no obvious cause of dilatation there is no stone or tumor in it may be secondary to chronic use of opium but it will needs further evaluation by endoscopic procedure called ercp but in my opinion that is not an emergency meanwhile start using following treatment and it will help out in her symptoms opium periampullary lesion ercp lots abc periampullary lesion opioid induced opioid induced sod dysfunction tab levosulphride 25mg three times before meals