This is a 45 year old patient, he had acalculous cholecystitis with a liver tumor covering both the liver and gallbladder. The tumor was filled with pus and almost the size of an American football (ball). This picture presents only about 20% of the actual size of the tumor. The surgery was of a palliative purpose, which included the partial removal of the mass to relieve pain and symptoms. Photo by @larawafai