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Victor Peterson, a 58-year-old male with a history of asbestos exposure and mesothelioma, presented with right upper quadrant abdominal pain. On physical exam, he had fullness and tenderness in the right upper quadrant. An ultrasound showed gallstones, with a borderline common bile duct. The consulting physician suspects the abdominal pain is due to either cholecystitis or choledocholithiasis, and recommends liver function tests and a possible sphincterotomy.

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