Review Question - QID 213439

A 40-year-old man presents to his primary care provider complaining of abdominal pain. The patient reports a dull pain that has been present for 4 weeks now. The patient states that the pain is located to his right upper quadrant and does not change with eating. The patient denies any alcohol or illicit substance use, stating that he is meticulous about eating healthy since he is a professional bodybuilder. The patient reports no history of malignancy. On exam, the patient's temperature is 98.2°F (36.8°C), blood pressure is 130/86 mmHg, pulse is 60/min, and respirations are 12/min. The patient has an athletic build, and his exam is unremarkable for any palpable mass or abdominal tenderness. On further questioning, the patient does endorse a 5-year history of using anabolic steroids for bodybuilding. Imaging demonstrates an enhancing liver nodule. Which of the following is the most likely histopathologic finding of this patient’s disease?