Extensive cholelithiasis over 10 years in a patient with lymphoma

A 73-year-old female with a history of primary biliary cirrhosis, Sjogren syndrome, and hypertension recently presented with nausea, vomiting, and fever. She was found to have panhypopituitary syndrome, and extensive mediastinal and retroperitoneal lymphadenopathy. A lymph node biopsy revealed diffuse large B-cell lymphoma. A CT scan without contrast of the abdomen in January 2015 revealed cholelithiasis but no biliary dilation or gallbladder wall edema (arrows in panel A, horizontal view; and panel B, coronal view). There was no significant abnormality in her liver function tests.