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Pancreatitis with associated peripancreatic abcscess.

Pancreatic carcinoma and liver metastases.

Pancreatitis and peptic ulcer perforation in an alcoholic patient.

Cholangiocarcinoma with liver metastases.

<p>A patient with a history of alcohol abuse presents to A&amp;E with epigastric&nbsp;pain. His haemoglobin is 8 g/dl on admission. An oesophago-gastroduodenoscopy&nbsp;(OGD) and ultrasound of abdomen are requested. The&nbsp;ultrasound of abdomen shows multiple hyperechoic lesions in the liver. There&nbsp;is no evidence of gallstones. Prior to the OGD the patient becomes acutely&nbsp;unwell and a CT scan is requested. This shows evidence of air and fluid in the subhepatic space. It also reveals a focal enhancing lesion causing prominence&nbsp;of the head of the pancreas. What is the most likely diagnosis?<br></p>