<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 60-year-old man presents to his physician as part of his routine annual medical check-up. He has no specific complaints but mentions that he has often experienced fatigue over the past few months. His past medical history is noncontributory. On physical examination, his temperature is 37.2C 98.8F, pulse rate is 84min, blood pressure is 13086 mm Hg, and respiratory rate is 18min. On general examination, mild pallor is present. Palpation of the abdomen reveals splenomegaly, which extends 6.35 cm 2.5 in below the left costal margin. There is no hepatomegaly. Laboratory studies show the following values:Hemoglobin 9.7 gdLTotal leukocyte count 30,000mm3Granulocytes 83Lymphocytes 10Eosinophils 5Basophils 1Monocytes 1Platelet count 700,000mm3The physician orders a bone marrow biopsy analysis of hematopoietic cells. The report shows the presence of a t9;22q34; q11 translocation. Which of the following is the most likely diagnosis?? A: Chronic myeloid leukemia, B: Chronic myelomonocytic leukemia, C: Chronic neutrophilic leukemia, D: Transient myeloproliferative disorder, E: Myelodysplastic syndromemyeloproliferative neoplasm, unclassifiable,  <response>: This is a clinical case of a 60-year-old man presenting with fatigue, mild pallor, splenomegaly, elevated white blood cell count with increased granulocytes, and thrombocytosis. The key finding is the identification of t9;22q34;q11 translocation on bone marrow analysis. This translocation, also known as the Philadelphia chromosome, results from fusion of the BCR and ABL genes and is diagnostic of chronic myeloid leukemia CML. The clinical presentation of fatigue, splenomegaly, leukocytosis with increased granulocytes, and thrombocytosis is classic for CML.The other options can be ruled out:- Chronic myelomonocytic leukemia: presents with monocytosis, not increased granulocytes. - Chronic neutrophilic leukemia: very rare, would not have the Philadelphia chromosome.- Transient myeloproliferative disorder: seen in newborns, not adults. - Myelodysplasticmyeloproliferative neoplasm: may have dysplasia, not the typical CML presentation.A: Chronic myeloid leukemia 