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A 48-year-old man presents with continuous right upper quadrant pain that developed after eating fried chicken. He has experienced previous episodes of less severe right upper quadrant pain that resolved spontaneously. The pain radiates to his right shoulder, accompanied by nausea, vomiting, and chills. Vital signs include BP 120/85 mm Hg, pulse 117/min, respirations 18/min, temperature 102.5°F. Physical examination is remarkable for scleral icterus and jaundice. His abdomen is slightly distended with right upper quadrant tenderness and a positive Murphy sign. CBC reveals mild leukocytosis, elevated serum aminotransferases and bilirubin, and normal lipase.What is the most likely cause of this patient's symptoms?
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