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MediumGastroenterologyAcute cholangitisau-amcau-acem

A 52-year-old woman with obesity and type 2 diabetes presents with right upper quadrant pain, fever and jaundice. Examination reveals a positive Murphy sign. LFTs show elevated ALP and bilirubin. Ultrasound reveals gallstones and a dilated common bile duct. What is the most likely diagnosis?

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