CASE REPORT A 53-year-old simulator rapid weight loss

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CASE REPORT A 53-year-old woman with poorly controlled diabetes mellitus, was referred from another institution due to ultrasonographic findings of multiple hyperechogenic masses in the liver. The patient complained of right upper abdominal pain of rapid weight loss one year's duration. Physical examination revealed obesity, tender rapid weight loss hepatomegaly and pain in the right upper abdominal quadrant upon deep palpation. Her blood urea, creatinine, aspartate aminotranferase, alanine aminotransferase, alkaline phosphatase, gamma-glutamyl transpeptidase and rapid weight loss alpha-fetoprotein levels were normal. Serology for hepatitis B and C viruses were negative. The patient had no history of alcohol consumption.
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