<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 35-year-old woman comes to the physician because of headaches, irregular menses, and nipple discharge for the past 4 months. Breast examination shows milky white discharge from both nipples. Her thyroid function tests and morning cortisol concentrations are within the reference ranges. A urine pregnancy test is negative. An MRI of the brain is shown. Which of the following sets of changes is most likely in this patient? Serum estrogen Serum progesterone Dopamine synthesis ? A: , B: , C: , D: , E: ,  <response>: This is a clinical case question involving a 35-year-old woman with headaches, irregular menses, nipple discharge, and a brain MRI image. The key findings are:- Headaches, irregular menses, nipple discharge - suggest a hormonal etiology- Normal thyroid function tests and morning cortisol - rules out thyroid and adrenal abnormalities- Negative pregnancy test - rules out pregnancy - MRI shows enlarged pituitary gland - suggests pituitary tumor as cause of hormonal issuesThe question asks about likely changes in estrogen, progesterone, and dopamine levels. The nipple discharge and menstrual irregularity suggest high estrogen. The enlarged pituitary seen on MRI suggests a prolactin-secreting tumor, which would lead to high prolactin levels and suppression of gonadotropins LH and FSH. This would cause low progesterone. High prolactin also suppresses dopamine production.D: 