• CT scan – multiple hepatic Mets, no new  Mets or progression (Jan)• Choledocholithiasis and liver abscess  detected• Blood culture: infection (Enterococcus  Faecium)• Bloods: ↑ Bili, ↑ LFTs, ↓Hb, ↓ Prot, ↓  Albumin, ↓ Na, ↑ CRP, ↑ Neutrophils,  CEA 20. The gene discussed is CEACAM5; the disease is infection.