A 40-year-old female presents to the emergency department with the complaint of sudden onset abdominal pain. She reports nausea, multiple episodes of vomiting, and abdominal bloating. Vital signs are shown.

Physical examination reveals a protuberant abdomen, hypoactive bowel sounds, and diffuse abdominal tenderness with involuntary guarding at the right upper quadrant.

Somatovisceral findings are most likely present at which of the following spinal levels?