CASE 99

History: A 38-year-old man presents with abdominal distention.

1. Which of the following should be included in the differential diagnosis of the imaging finding shown in the figure? (Choose all that apply.)

A. Adherent calculi

B. Biliary sludge

C. Porcelain gallbladder

D. Gallbladder varices

E. Emphysematous cholecystitis

2. What is the most likely underlying condition resulting in this abnormality?

A. Alcoholic cirrhosis

B. Schistosomiasis

C. Chronic viral hepatitis

D. Congenital hepatic fibrosis

3. Why is this finding important for future reference?

A. Surgery

B. Cholecystitis

C. Carcinoma

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