You are answering a USMLE-style medical question. Question: A 49-year-old man comes to the physician for a routine health maintenance examination. He feels well and has no history of serious illness. He has smoked one pack of cigarettes daily for the past 25 years and drinks two to three glasses of wine weekly. This patient should be counseled about increased risk for which of the following conditions? Options: A) Pancreatic adenocarcinoma B) Esophageal varices C) Porcelain gallbladder D) Hepatic steatosis Reply with ONLY the letter of the correct answer (A, B, C, or D). No explanation.