3 Weeks Of Right in Medicine / Internal Medicine — 35yo Man | Gastroenterology | SMLE Q#11357

SMLE Question #11357

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-433

Last updated: February 2026
A 35-year-old man who recently emigrated from rural India presents with 3 weeks of right upper quadrant pain and intermittent low-grade fever. He has no significant medical history and denies alcohol use or intravenous drug use. Examination shows mild right upper quadrant tenderness without peritonism. Abdominal ultrasound shows a single homogeneous hypoechoic lesion in the right hepatic lobe. What is the most likely diagnosis?

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