<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 45-year-old man comes to the physician for a routine health maintenance examination. He feels well. He has type 2 diabetes mellitus. There is no family history of serious illness. He works as an engineer at a local company. He does not smoke. He drinks one glass of red wine every other day. He does not use illicit drugs. His only medication is metformin. He is 180 cm 5 ft 11 in tall and weighs 100 kg 220 lb; BMI is 31 kgm2. His vital signs are within normal limits. Examination shows a soft, nontender abdomen. The liver is palpated 2 to 3 cm below the right costal margin. Laboratory studies show an aspartate aminotransferase concentration of 100 UL and an alanine aminotransferase concentration of 130 UL. Liver biopsy shows hepatocyte ballooning degeneration, as well as inflammatory infiltrates with scattered lymphocytes, neutrophils, and Kupffer cells. Which of the following is the most likely diagnosis?? A: Primary biliary cirrhosis, B: Alcoholic fatty liver disease, C: Viral hepatitis, D: Nonalcoholic steatohepatitis, E: Autoimmune hepatitis,  <response>: This is a question about identifying the most likely diagnosis for a 45-year-old man with type 2 diabetes mellitus who presents with mildly elevated liver enzymes and a liver biopsy showing hepatocyte ballooning degeneration and inflammatory infiltrates. The key findings are:- 45-year-old man with type 2 diabetes mellitus - No significant alcohol use or family history - BMI 31 kgm2, consistent with obesity- Mildly elevated AST and ALT- Liver biopsy showing ballooning degeneration and inflammationGiven the history of diabetes, obesity, and biopsy findings of ballooning degeneration, the most likely diagnosis is nonalcoholic steatohepatitis NASH. NASH is a type of nonalcoholic fatty liver disease characterized by hepatocellular injury and inflammation in the setting of insulin resistance and metabolic abnormalities like diabetes and obesity. Primary biliary cirrhosis, alcoholic liver disease, viral hepatitis, and autoimmune hepatitis are less likely based on the clinical history and biopsy findings.D: Nonalcoholic steatohepatitis 