12 mg/ dl, Carcinoembryonic antigen (CEA) 3.2 ng/ ml and a CA 19-9 of 38310 U/ml. Ultrasonographic examination and computed tomography of the abdomen were of poor quality due to body habitus. Magnetic resonance imaging (MRI) of the abdomen showed intrahepatic biliary dilatation, a dilated common bile duct of 11mm and no pancreatic mass. Endoscopic ultrasound revealed cholelithiasis as well as a...