<s>[INST] Aunt, 92.5 years. Stage 4 Gallbladder Cancer . Mets to the liver. Central portion of liver in disease. 20-25% of liver involved. Unidentified spots in Lungs. Present symptoms: fatigue . painful cough. lessening appetite. some weight loss . What should these next three months look like for her? How fast will entire liver be involved? What happens when liver is extensively diseased? She will decline all but palliative care . Thank you [/INST] Hello It is very difficult to predict about the exact time frame of the survival of the patient as it depends upon not only the physical condition but also the will power of the patient. As such with such extensive metastasis,only 3 to 6 months is the time period of survival. Thanks </s>