In Which of These Scenarios Is Liver Injury Most Likely

In which of these scenarios is liver injury most likely?

A) A 55-year-old with a low alanine aminotransferase (ALT)
B) A 45-year-old with an elevated aspartate aminotransferase (AST)
C) A 60-year-old with an elevated alkaline phosphatase and elevated γ-glutamyl transpeptidase (GGT)
D) A 70-year-old with an elevated alkaline phosphatase and normal γ-glutamyl transpeptidase (GGT)