Case 190

Medical history

Female patient, 56 years old, complains of abdominal colicky pain in the upper abdomen, associated with nausea, vomiting, jaundice, dark-colored urine and fecal acholia. Evolved with worsening of the pain, located in the right upper quadrant, of continuous character, associated with fever and chills. No other complaints. Laboratory tests presented with leukocytosis, elevated CRP and direct hyperbilirubinemia. Patient has hypertension and diabetes, without other comorbidities. Imaging tests above were performed after the initiation of antibiotic therapy and partial improvement of the pain.

Analyzing the patient's history and the images, the most likely diagnosis for this condition is:

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