Review Question - QID 108906

A 54-year-old man presents to the emergency department for fatigue and weight loss. He reports feeling increasingly tired over the last several weeks and has lost 7 pounds over the last month. His wife has also noticed a yellowing of the eyes. He endorses mild nausea but denies vomiting, abdominal pain, or changes in his stools. 10 years ago, he was hospitalized for an episode of acute pancreatitis. His past medical history is otherwise significant for hyperlipidemia, diabetes mellitus, and obesity. He has 2 glasses of wine most nights with dinner and has a 30-pack-year smoking history. His temperature is 98.6°F (37°C), blood pressure is 131/82 mmHg, pulse is 81/min, and respirations are 12/min. On physical exam, the patient has icteric sclera and his abdomen is soft, non-distended, and without tenderness to palpation. Bowel sounds are present. Laboratory studies reveal the following:

Alanine aminotransferase (ALT): 67 U/L
Aspartate aminotransferase (AST): 54 U/L
Alkaline phosphatase: 771 U/L
Total bilirubin: 12.1 g/dL
Direct bilirubin: 9.4 g/dL

Which of the following would most likely be seen on abdominal imaging?