Case Presentation

A 33 year-old African American male with a past medical history significant for HIV on HAART therapy presented to the emergency department (ED) with acute onset of right upper quadrant abdominal pain and mild shortness of breath. The abdominal pain was not associated with any fevers, chills, nausea, vomiting or diarrhea. The patient denied any chest pain, palpitations, lightheadedness or syncopal episodes. He did report some dysphagia with solids more than liquids over the last 2 months as well as decreased oral intake. His review of systems was otherwise significant for weight loss which he was unable to quantify.