Review Question - QID 104588

A 55-year-old man presents to his primary care physician with right upper quadrant abdominal pain that has progressed over the last 3 months. He also complains of unexplained weakness and joint pains that have been "out of the ordinary" over the last year. He has a history of diabetes controlled with metformin, diet, and exercise. He was also diagnosed recently with a "heart issue" but does not recall the exact diagnosis. The patient lives a sedentary lifestyle, rarely leaves the house, and does not drink alcohol or use illicit drugs. He has a 5-pack-year smoking history and smokes 1 cigarette per day. The patient's temperature is 98.6°F (37.0°C), blood pressure is 130/80 mmHg, pulse is 70/min, and respirations are 16/min. Physical exam reveals a tan-appearing man in no acute distress. His sclera are icteric and his corneas appear normal. Palpation of the right upper quadrant elicits tenderness. Which of the following complications is this patient most at risk of developing due to his underlying condition?