<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 3-week-old neonate in the neonatal intensive care unit NICU has bilious vomiting. He was born at 31 weeks gestation by cesarean section due to maternal preeclampsia. The birth weight was 1100 g 2.4 lb. Meconium was passed on the 2nd day after birth, and he had an adequate number of wet diapers. He is on continuous nasogastric formula feeds. The vital signs include: temperature 34.4C 94.0F, blood pressure 8040 mm Hg, pulse 120min, and respiratory rate 62min. The pulse oximetry is 96 on room air. The examination reveals a lethargic neonate with abdominal distension. There is frank blood in his diaper. Laboratory studies show metabolic acidosis. Which of the following is the most likely finding in this patient?? A: Diffuse microcolon on barium enema, B: No air in the rectum on abdominal X-ray, C: Air in the bowel wall on abdominal X-ray, D: Double bubble sign on abdominal X-ray, E: Epigastric olive-shaped mass on abdominal sonography,  <response>: This is a clinical vignette about a 3-week-old preterm neonate in the NICU with bilious vomiting, abdominal distension, and bloody stools. The key findings are:- Preterm birth at 31 weeks gestation- Bilious vomiting - Abdominal distension- Bloody stools- Metabolic acidosisBased on these findings, the most likely diagnosis is necrotizing enterocolitis NEC. NEC is a serious intestinal condition that can occur in preterm infants and presents with bilious emesis, bloody stools, abdominal distension, and metabolic acidosis. The question is asking about the most likely abdominal X-ray finding in this patient with presumed NEC. The choices include findings consistent with various intestinal obstructions as well as an abdominal mass. The classic X-ray finding in NEC is pneumatosis intestinalis - air in the bowel wall.C: Air in the bowel wall on abdominal X-ray 