3 Months Of Dull in Medicine / Internal Medicine — 35yo Man | Infectious Diseases | SMLE Q#17169
SMLE Question #17169
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-349
Last updated: February 2026
A 35-year-old man from a rural sheep-farming area presents with 3 months of dull right upper quadrant discomfort and early satiety. He has close contact with sheep and dogs and sometimes assists with home slaughtering of animals. He denies fever, weight loss, or jaundice. Examination shows mild right upper quadrant fullness without tenderness. Abdominal CT shows a well-circumscribed cystic lesion in the right hepatic lobe with a multivesicular internal architecture and a partially calcified wall, without surrounding inflammatory changes. What is the most likely diagnosis?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.