<s>[INST] my father is 67 years old he had his ultrasound  yesterdAY, It said that he has enlarged liver with diffuse parenchymal disease. Consider hydrops of gallbladder.   Does he need to undergo operation to take away gall bladder?? Is this contagious? Is there any other option than operation?/suurgery? [/INST] Hi. I went through your concerns regarding your father medical conditions. Let me rephrase that your father has gall stones which are asymptomatic with diffuse liver parenchymal disease (liver cirrhosis). There is high risk of decompensation of liver disease once your father receive general anesthesia for gall bladder surgery. I would suggest waiting and see. There is another option of starting capsule ursodeoxycholic acid which can solubilize the gall stones. But it needs at least 6 months. It's a safe Chat Doctor.  It has narrow spectrum of side effects like nausea, vomiting, diarrhea, headache, dizziness and dyspepsia. But most of the patients tolerate it very well I wish good health for your father. </s>