question: Q:A 65-year-old man is brought to the emergency department because of a 1-day history of fever and disorientation. His wife reports that he had abdominal pain and diarrhea the previous day. He drinks 60 oz of alcohol weekly. His pulse is 110/min and blood pressure is 96/58 mm Hg. Examination shows jaundice, palmar erythema, spider nevi on his chest, dilated veins on the anterior abdominal wall, and 2+ edema of the lower extremities. The abdomen is soft and diffusely tender; there is shifting dullness to percussion. His albumin is 1.4 g/dL, bilirubin is 5 mg/dL, and prothrombin time is 31 seconds (INR = 3.3). Hepatitis serology is negative. A CT scan of the abdomen is shown. Which of the following processes is the most likely explanation for these findings?? 
  {'A': 'Accumulation of iron in hepatocytes', 'B': 'Ground-glass hepatocytes with cytotoxic T cells', 'C': 'Fibrous bands surrounding regenerating hepatocytes', 'D': 'Hepatocyte swelling with Councilman bodies and monocyte infiltration', 'E': 'Misfolded protein aggregates in hepatocellular endoplasmic reticulum'},