Question 1589

Question contributed by Matt A. Morgan

A 45-year-old woman began to experience severe back pain and had a long history of abdominal pain. Subsequent workup included a spine MRI, a CT, and a liver biopsy shortly afterwards. A contrast-enhanced CT image of her abdomen and a sagittal T1 image of her spine is provided below. What is the most likely diagnosis from the list below?

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