An asymptomatic 56 year old man who has never consumed alcohol came for a routine checkup. Exam: increased skin pigmentation, spider angioma, cardiomegaly, S3 gallop, liver firm with 8cm span, no ascites. He is in the risk of which condition?

The key is D. Hepatoma. [Increased skin pigmentation, features of chronic liver disease (spider angioma), Cardiomyopathy (cardiomegaly, S3 gallop), Enlarged liver these are suggestive of Haemochromatosis. (OHCM: Slate-grey skin pigmentation; signs of chronic liver disease; hepatomegaly; cirrhosis; dilated cardiomyopathy; osteoporosis; also endocrinopathies are features of haemochromatosis). If cirrhosis, 22–30% gethepatocellular cancer].