MRCP2-1867

A 67-year-old woman presents to the medical assessment unit with ascites. She has a history of excessive alcohol consumption and past illicit drug use. She also reports symptoms of irritable bowel syndrome over the past six months. Her vital signs are stable, and on examination, she has a distended abdomen with obvious ascites. Her laboratory results show low hemoglobin, normal platelets, and elevated liver function tests. What is the most likely diagnosis?