hi. noted high levels of bilirubin. it is possible that you have an underlying obstruction somewhere along your hepaticopancreaticobiliary tree area. the obstruction might be caused by a stone (such as in gallstone disease). other lesions (such as malignancy or cystic formations) must also be ruled-out. it is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. other diagnostics (such as ultrasound, ct-scan, liver function tests, blood exams, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. hope this helps. good day!! ~dr.kaye