MSFinals-1391

A 50-year-old Chinese man arrives at the Emergency Department with a swollen belly. He reports experiencing weight loss and a dull ache in his right upper abdomen. Upon examination, he appears sweaty and has a tender enlarged liver with fluid buildup. His temperature is 38 °C and blood tests indicate elevated levels of α-fetoprotein. An ultrasound of his liver reveals areas of abnormal tissue growth. What is the probable primary liver cancer diagnosis based on these findings?