I have pain in the right lower quadrant since childhood, have been examined many times but the doctor said it is okay. Currently, I am working abroad in the Middle East. I went to the doctor and was diagnosed with a type IVA biliary tract cyst. The doctor gave me painkillers and talked about monitoring. I'm really worried, what's wrong with me? My symptoms are pain in the right lower quadrant and a feeling of pain spreading to the shoulder. Normally, I don't have frequent pain, but only pressing on my stomach and patting my side will cause pain. The doctor asked me if the pain in the right lower quadrant spread to the shoulder is a type IVA biliary cyst? Thank you doctor!