. A 43-year-old multigravida presents with nausea, vomiting, fever, and right upper quadrant pain…

. A 43-year-old multigravida presents with nausea, vomiting, fever, and right upper quadrant pain. On examination, she displays arrested inspiration on palpation of the right upper quadrant (Murphy sign). Her laboratory results reveal neutrophilia with a “left shift.” Which of the following is the most likely diagnosis? (a) Acute cholecystitis (B) Carcinoma of the ampulla of Vater (C) Cholangiocarcinoma (D) Cholesterolosis (e) Sclerosing cholangitis