These are two separate patients with the same disease. The other finding is hepatomegaly. When scanned, a liver mass is found. The patient, unfortunately, has dementia. His estranged daughter says, "Well, he had some sort of minor surgery years ago, but he never told me what it was for."
Challenge: One unifying diagnosis connects the reason for the prior surgery, the current presentation now, and the liver mass. The median survival for this patient is 4.4 months; the five-year survival is 3%.
Note: I got this case idea from a morning report during a preliminary medicine interview.
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