Pathology

A 10-day-old infant presents with projectile vomiting. His mother states that the infant will actively drink his milk, but he forcefully vomits after each feeding. The infant shows signs of failure to thrive, with weight loss, dehydration, and lethargy. Physical examination reveals a firm, nontender, mobile, "olive-shaped" epigastric mass. Which of the following is the most likely diagnosis?