Our appreciation is extended to Dr. Abdul Abid, University of Texas Medical Branch, for contributing this case.

History: An 85-year-old man with a previous history of percutaneous cholecystostomy tube placement following an episode of gangrenous cholecystitis presented with a fever and altered mental status. An abdominal computed tomography (CT) scan with contrast showed multiple hypoattenuating lesions within the liver, raising concern for malignancy. A liver biopsy was obtained. Photomicrographs are shown.

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