Lauren Lu; Rebecca Leff; Tobias Kummer – A 61-year-old woman with metastatic ovarian cancer presented to the ED with evidence of localized gallbladder perforation with abscess development on an outpatient CT scan obtained as part of a routine consultation for her ovarian cancer. CT abdomen/pelvis with intravenous contrast revealed thickened nodular enhancement on the wall of the gallbladder with evidence of perforation and a large abscess extending into the right paracolic gutter and anterior pelvis.