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Emission data, free from prior attenuation map knowledge, fuels this simulation's precise joint reconstruction of metal and attenuation maps. This report outlines the diagnosis and subsequent treatment of a patient presenting with a small intestinal obstruction caused by a gallstone ileus. An infrequent complication of cholelithiasis, this condition presents with intermittent and nonspecific symptoms, such as bloating, early satiety, constipation, nausea, and vomiting. Contras