system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 40-year-old man visits the office with complaints of fever and abdominal pain for the past 6 days. He is also concerned about his weight loss as he weighs 3.6 kg (8 lb) less, today, than he did 2 months ago. He has a previous history of being admitted to the hospital for recurrent cholangitis. The vital signs include: heart rate 97/min, respiratory rate 17/min, temperature 39.0°C (102.2°F), and blood pressure 114/70 mm Hg. On physical examination, there is tenderness on palpation of the right upper quadrant. The laboratory results are as follows:
Hemoglobin 16 g/dL
Hematocrit 44%
Leukocyte count 18,000/mm3
Neutrophils  60%
Bands 4%
Eosinophils 2%
Basophils 1%
Lymphocytes  27%
Monocytes 6%
Platelet count 345,000/mm3
Aspartate aminotransferase (AST)  57 IU/L
Alanine aminotransferase (ALT) 70 IU/L
Alkaline phosphatase 140 U/L
Total bilirubin 8 mg/dL
Direct bilirubin 5 mg/dL
An ultrasound is also done to the patient which is shown in the picture. What is the most likely diagnosis?
assistant
Liver abscess