3 Months Of Dull in Medicine / Internal Medicine — 65yo Man | Hepatology | SMLE Q#9730
SMLE Question #9730
Medicine / Internal Medicine
Hepatology
Objective: OBJ-HEP-01
A 65-year-old man with chronic hepatitis C presents with 3 months of dull right upper quadrant pain, anorexia, and unintentional 8-kg weight loss. Exam shows a firm, irregular liver edge palpable 4 cm below the right costal margin. Alpha-fetoprotein is 1160 ng/mL. Contrast-enhanced abdominal CT shows a hypervascular right hepatic lobe mass with arterial phase enhancement and venous washout. Which of the following is the most likely diagnosis?
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