cases, pancreas Week 460: Case 3 April 26, 2023 pathadmin 1. Presented by Ralph Hruban, M.D. and prepared by Shiyama Mudali, M.D.This elderly patient was diagnosed with cholelithiasis and cholecystitis. A cholecystectomy was performed.Benign signet ring cell changeIn-situ signet ring cell carcinomaSignet ring cell carcinomaCryptococcus 1. Presented by Ralph Hruban, M.D. and prepared by Shiyama Mudali, M.D.This elderly patient was diagnosed with cholelithiasis and cholecystitis. A cholecystectomy was performed.