13th August 2020

A 60-year-old male presents with fever and right upper quadrant pain

A 60-year-old male presents with fever and right upper quadrant pain. He describes having intermittent right upper quadrant pain associated with meals, but it is more severe and persistent this episode. On examination, he has jaundiced sclera and severe right upper quadrant tenderness. Investigations revealed raised bilirubin with ALT of 50 (normal range 3-40 IU/L) and ALP of 400 IU/L (normal range 30-100 IU/L).

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.