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This young woman with a prior history of subsegmental pulmonary embolism was admitted on an emergent basis for abdominal pain. Laboratory values on admission included AST 549 IU/L, ALT 717 IU/l, alkaline phosphatase 200 IU/L, total bilirubin 8.0 mg/dl. There was a prior history of cholecystectomy. Hepatitis C virus genomic assay was reportedly positive, but antibody was negative. A liver biopsy performed at that time is available for your review and comments.

 
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