<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 32-year-old woman presents to her physician concerned about wet spots on the inside part of her dress shirts, which she thinks it may be coming from one of her breasts. She states that it is painless and that the discharge is usually blood-tinged. She denies any history of malignancy in her family and states that she has been having regular periods since they first started at age 13. She does not have any children. The patient has normal vitals and denies any cough, fever. On exam, there are no palpable masses, and the patient does not have any erythema or induration. What is the most likely diagnosis?? A: Fibrocystic changes, B: Pagets disease, C: Breast abscess, D: Ductal carcinoma, E: Intraductal papilloma,  <response>: Based on the description in the question stem, the most relevant details are:- 32 year old woman with wet spots on inside of dress shirts from one breast- Discharge is painless and blood-tinged - No family history of malignancy- Regular periods since age 13, no children- No masses, erythema or induration on examThe bloody nipple discharge and lack of masses or skin changes make inflammatory conditions like breast abscess less likely. The patients young age makes breast cancer less likely. Pagets disease would also typically present with skin changes. The intermittent bloody discharge localized to one breast is most consistent with an intraductal papilloma.E: Intraductal papilloma 