<s>[INST] The results of my routine (every 6 months) blood work revealed that my billirubin levels have fluctuated over the past 4 visits. An MRI is suggested, which I plan to do. What should I worry about until that MRI is done, and will it be sufficient to diagnose the cause.? [/INST] Hi, I had gone through your question and understand your concerns. I think you are probably talking of MRCP or magnetic resonance cholangiopancreatography. Fluctuating bilirubin level can be due to many reasons like hepatitis, gall stone disease, pancreatitis obstructing the common bile duct etcetera. It would have been great had I examined you on my own. I would suggest you - not panic-avoid oily, spicy food-take a soft, bland diet - get a full liver function test done-also get an abdominal ultrasound done. I would also suggest you to visit a clinician. He/she can examine you and correlate clinically. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. </s>