Several Weeks Of Vague in Medicine / Internal Medicine — 68yo Man | Hepatology | SMLE Q#948

SMLE Question #948

Medicine / Internal Medicine Hepatology

Objective: OBJ-HEP-01

Last updated: February 2026
A 68-year-old man with long-standing heavy alcohol use presents with several weeks of vague abdominal discomfort and unintentional weight loss. Examination shows scleral icterus, spider angiomata, and a firm, irregular right upper quadrant mass arising from the liver edge. Which of the following is the most likely diagnosis?

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