<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 33-year-old woman presents to her primary care physician for a wellness check-up. She states that recently she has been feeling well other than headaches that occur occasionally, which improve with ibuprofen and rest. She has a past medical history of hypertension and headaches and is currently taking hydrochlorothiazide. Her temperature is 99.2F 37.3C, blood pressure is 157108 mmHg, pulse is 90min, respirations are 14min, and oxygen saturation is 98 on room air. Physical exam reveals a young woman who appears healthy. A normal S1 and S2 are auscultated on cardiac exam, and her lungs are clear with good air movement bilaterally. From her previous visit, it was determined that she has an elevated aldosterone and low renin level. Laboratory values are ordered as seen below.Serum:Na: 139 mEqLCl-: 100 mEqLK: 3.7 mEqLHCO3-: 29 mEqLBUN: 20 mgdLCreatinine: 1.1 mgdLWhich of the following is the most likely diagnosis?? A: Benign essential hypertension, B: Cushing syndrome, C: Narrowing of the renal arteries, D: Pheochromocytoma, E: Primary hyperaldosteronism,  <response>: This is a clinical vignette describing a 33-year-old woman with a history of hypertension and headaches who presents for a wellness check. On exam, she has elevated blood pressure and a previous workup showed elevated aldosterone and low renin levels. The lab values show normal sodium, chloride, potassium, and bicarbonate levels. The question asks to identify the most likely diagnosis based on this information.The key findings here are hypertension along with elevated aldosterone and low renin levels. This suggests excess aldosterone production that is not regulated by renin, pointing to primary hyperaldosteronism as the likely diagnosis. The other options can be ruled out based on the information provided. Benign essential hypertension would not have abnormal aldosterone and renin levels. Cushing syndrome and pheochromocytoma would not present with this particular lab pattern. Renal artery stenosis would be unlikely with normal renal function. Therefore, primary hyperaldosteronism is the most supported diagnosis.E: Primary hyperaldosteronism 