<s>[INST] I have a 9mm module on my gallbladder and my doctor wants to wait 6 months. I have had pain and have been sick for the past 4 weeks. I also have been heading sever headaches and unalbe to sleep so he gave me sleeping pills ......my WBC count was at 12 and I also have an ammune diease which is making me really concerned. I am now at the point that I need a sceond opinion. [/INST] HIA nodule which is symptomatic should be removed as early as possible and specimen should be sent for biopsy to rule out if polyp is malignant or not however most of the polyps less than 10 mm are usually benign. Elevated WBC count can be due to inflammation in gall bladder, Sometimes inflamed area is infected by bacteria, as you already have an immune disease polyp should be removed at the earliest. </s>