ABSTRACT

A 63-year-old gentleman presents to Accident and Emergency (A and E) complaining of abdominal pain and weight loss. On examination you note evidence of jaundice and tenderness in the right upper quadrant. A CT scan is performed and is shown below. https://s3-euw1-ap-pe-df-pch-content-public-p.s3.eu-west-1.amazonaws.com/9781846199608/86c3100a-a262-41e0-896e-606c24034fcb/content/figpg17_1.jpg" xmlns:xlink="https://www.w3.org/1999/xlink"/>