A 58-year-old male with history of hypertension presented with constant left upper quadrant (LUQ) pain for 3 days. He denied fevers, chills, had no anorexia or association with eating, and no changes in bowel or bladder function. He was nontoxic appearing with normal vital signs. Abdomen was soft with tenderness to palpation in LUQ with normal bowel sounds. There were no masses, guarding, or other areas of tenderness. Remainder of the examination was normal. White blood count was 10,600/mm3 with 74.9% neutrophils with otherwise normal indices. Serum chemistry, urinalysis, and liver function tests, including lipase, were all in normal range. C-reactive protein (CRP) was 217 mg/L (reference range: 0–7 mg/L). A computerized tomography (CT) with intravenous contrast was obtained.