Review Question - QID 110014

An 18-year-old man presents to his primary care provider for a routine checkup. He feels well and has no complaints. He is the captain of his high school football team and will be attending college on a football scholarship the following year. His past medical history is unremarkable. He underwent a laparoscopic appendectomy at age 13. He takes no medications and has no allergies. His temperature is 99.1°F (37.3°C), blood pressure is 155/85 mmHg, pulse is 96/min, and respirations are 16/min. On examination, he has severe nodulocystic acne. He has gained 15 pounds and 1/2 inch in height since his last visit one year ago. Mild gynecomastia and testicular shrinkage are noted. This patient is at the greatest risk of developing which of the following?