CASE 183

History: A 66-year-old man presents with epigastric pain.

1. What should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Hematoma

B. Hydatid cyst

C. Metastatic deposit

D. Porcelain gallbladder

E. Focal nodular hyperplasia

2. What serious complication is associated with porcelain gallbladder?

A. Cholelithiasis

B. Cholangiocarcinoma

C. Gallbladder hydrops

D. Gallbladder adenocarcinoma

3. What is the most common malignancy of the biliary tract?

A. Klatskin’s tumor

B. Intrahepatic lymphoma

C. Gallbladder adenocarcinoma

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