Patient: Description of the condition (since 2002, I found that I had pains in my liver and gallbladder from time to time, but I was found to have intrahepatic bile duct stones, and now the pains are more frequent and more painful than before!) (2009.09.21 Hospital ultrasound diagnosis report described as: normal liver section shape and size, regular pericardial echogenicity, clear duct structure, portal vein internal diameter 9MM, two lumps of strong echogenicity in the liver, size 7*3MM, 6*3MM, posterior The two intrahepatic masses with strong echogenicity were 7*3MM and 6*3MM, with posterior acoustic shadow. The intrahepatic bile ducts were mildly dilated and showed parallel duct sign, while the extrahepatic bile ducts were not significantly dilated. (The gallbladder section is regular in shape, about 48*27MM in size, the wall is not thick, a strong echogenic mass about 7*4MM in size is seen within it, with a posterior acoustic shadow, which can be moved by changing the body position, and no point-like echogenicity is seen in the gallbladder.) The frequent bouts of pain in your abdomen can be attributed to the rolling of small stones in the gallbladder causing obstruction of the gallbladder duct inducing cholecystitis, and of course intrahepatic bile duct stones can also cause bile duct inflammation and right upper abdominal discomfort. If possible, you can have a plain CT scan to determine the distribution of intrahepatic bile duct stones more clearly, which is a guideline for treatment. Generally speaking, it is very unlikely that intrahepatic bile duct stones can be discharged by medication, and whether surgery is needed depends on the specific situation; if the gallbladder stones cause frequent inflammation affecting your work and life, surgery is the most thorough treatment.