<s>[INST] Hi doctor, I am a 54 year old male. I got a bypass heart surgery 12 years ago. During that time, my gallbladder had multiple small stones, which were silent according to the doctor. The location and position of these stones were found static during regular ultrasound tests. Four years back, I consulted a doctor, he also said that as it is silent and non-movable stones, there is no need to operate till there is no pain. I got an ultrasound two months back. Please see the attached report, and let me know what action needs to be taken? I do not have any pain or discomfort. [/INST] Hello. I have gone through the reports (attachment removed to protect patient identity). Revert with more information to an internal medicine physician online --> </s>