患者男，45岁。右肋痛3个月，微热，巩膜轻度黄染，肝于吸气时肋下1.0cm质中等，右膈外侧抬高，B超显示：肝内大小不等的结节样回声，边缘不整齐，HBsAg(+)，甲胎蛋白为10μg/L。最有可能的诊断是

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