<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 42-year-old woman presents with pruritus and progressive weakness for the past 3 months. She says she feels excessively tired during the daytime and is losing interest in activities that used to be fun. The patient reports a history of heavy alcohol use and drinks around 20 ounces per week. Laboratory studies show:Proteins 6.5 gdLAlbumin 4.5 gdLGlobulin 1.9 gdLBilirubin 5.8 mgdLSerum alanine aminotransferase ALT 86 ULSerum aspartate transaminase AST 84 ULSerum alkaline phosphatase ALP 224 ULAntinuclear antibody ANA positiveAntimitochondrial antibody AMA positiveanti-HBs positiveanti-HBc negativeWhich is the most likely diagnosis in this patient?? A: Alcoholic cirrhosis, B: Viral hepatitis, C: Primary sclerosing cholangitis, D: Primary biliary cholangitis, E: Cardiac cirrhosis,  <response>: Based on the information provided, the most relevant findings are:- Pruritus and fatigue, indicating possible liver disease- History of heavy alcohol use, raising suspicion for alcoholic liver disease- Low albumin and globulin, suggesting impaired liver synthetic function- Elevated bilirubin, ALT, AST, and ALP, indicating cholestasis and hepatocellular injury - Positive ANA and AMA, which are highly specific for primary biliary cholangitis PBC- Negative hepatitis B serology rules out viral hepatitis- No evidence of heart failure to suggest cardiac cirrhosisD: Primary biliary cholangitis 