<prompt> This patient with diffuse, nonencapsulated fatty deposits is most likely to have a history of which one of the following?Alcohol dependencyHypercalcemiaRenal insufficiencyRheumatoid arthritis  <response>: Answer A. Alcohol dependencyMadelungs disease also known as benign symmetric lipomatosis is a rare disorder of unknown cause and was the diagnosis in this case. Up to 90 of patients have a history of chronic alcoholism, and there is a strong male predominance. 