A 42-Year-Old Man Comes to the Office to Discuss Abnormal

A 42-year-old man comes to the office to discuss abnormal blood work results that were obtained at a local health fair.  The patient currently feels well and reports no symptoms.  Temperature is 37.6 C (99.7 F) , blood pressure is 125/72 mm Hg, pulse is 82/min, and respirations are 13/min.  Examination shows no scleral icterus.  Heart and lung sounds are normal; skin and abdominal examination are normal.  Laboratory results are as follows: Right upper quadrant ultrasound is normal.  The patient undergoes magnetic resonance cholangiopancreatography, which reveals luminal irregularities with mild focal dilatations within both intrahepatic and extrahepatic biliary ducts.  Which of the following additional testing should be obtained from this patient?

A) Colonoscopy
B) Echocardiogram
C) Ocular slit-lamp examination
D) Pulmonary function tests
E) Serum ferritin levels

Correct Answer:

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