Snapshot A 69-year-old man presents to the emergency department with complaints of abdominal pain. The pain is concentrated at the right upper quadrant and is described as a dull ache. Computed tomography reveals several nodules in the liver. The patient reports that he used to work in construction before he retired. Introduction Overview login to view 1 more bullet Epidemiology Incidence login to view 2 more bullets Demographics login to view 2 more bullets Risk factors login to view 6 more bullets ETIOLOGY Pathogenesis login to view 4 more bullets Associated conditions login to view 2 more bullets Presentation Symptoms login to view 7 more bullets Physical exam login to view 3 more bullets Imaging Computed tomography login to view 4 more bullets Studies Serum labs login to view 2 more bullets Tumor biopsy login to view 5 more bullets Histology login to view 2 more bullets Differential Hepatocellular carcinoma login to view 1 more bullet Cholangiocarcinoma login to view 1 more bullet Treatment Medical treatment login to view 1 more bullet Surgical and interventional login to view 4 more bullets Complications Liver failure Intraabdominal bleeding secondary to liver rupture Prognosis Very poor prognosis as diagnosis is often very late in the disease process Mean survival time of 5 months