<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 69-year-old woman presents to her physicians office with cough, increasing fatigue, and reports an alarming loss of 15 kg 33 lb weight over the last 4 months. She says that she has observed this fatigue and cough to be present over the past year, but pushed it aside citing her age as a reason. The cough has been progressing and the weight loss is really worrying her. She also observed blood-tinged sputum twice over the last week. Past medical history is noncontributory. She does not smoke and does not use recreational drugs. She is relatively active and follows a healthy diet. Today, her vitals are normal. On examination, she appears frail and pale. At auscultation, her lung has a slight expiratory wheeze. A chest X-ray shows a coin-shaped lesion in the periphery of the middle lobe of the right lung. The nodule is biopsied by interventional radiology see image. Which of the following types of cancer is most likely associated with this patients symptoms?? A: Mesothelioma, B: Large cell carcinoma, C: Small cell carcinoma, D: Squamous cell carcinoma, E: Adenocarcinoma,  <response>: Based on the information provided in the question stem, the key findings are:- 69-year-old woman with cough, fatigue, and significant weight loss over 4 months - Blood-tinged sputum noted recently- Chest X-ray showed a coin-shaped peripheral lung nodule- Biopsy of the nodule was performedThe patients age, symptoms of cough, fatigue and weight loss, along with the chest X-ray findings of a peripheral lung nodule are most consistent with lung cancer. The biopsy of the suspicious lung nodule will help determine the specific histological type of lung cancer. The location of the nodule in the periphery of the lung makes adenocarcinoma most likely.Mesothelioma and squamous cell carcinoma are less likely based on the clinical presentation. Small cell carcinoma and large cell carcinoma could be possibilities but adenocarcinoma is the most common type of lung cancer and most consistent with the clinical scenario described.E: Adenocarcinoma 