<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 61-year-old man comes to the physician because of fatigue and a 5-kg 11-lb weight loss over the past 6 months. He experimented with intravenous drugs during his 20s and has hepatitis C. His father died of colon cancer. He has smoked one pack of cigarettes daily for 35 years. Physical examination shows scleral icterus and several telangiectasias on the abdomen. The liver is firm and nodular. Laboratory studies show:Hemoglobin 10.9 gdLMean corpuscular volume 88 μm3Leukocyte count 10,400mm3Platelet count 260,000mm3Ultrasonography of the liver is shown. Which of the following additional findings is most likely?? A: Bacteremia, B: Elevated antimitochondrial antibodies, C: Elevated α-fetoprotein, D: Lesion with eccentric calcification on chest CT, E: Elevated carcinoembryonic antigen,  <response>: This is a clinical vignette describing a 61-year-old man with fatigue, weight loss, history of IV drug use and hepatitis C, family history of colon cancer, long smoking history, physical exam findings of scleral icterus and telangiectasias suggesting liver disease, and lab results showing anemia, thrombocytopenia, and leukopenia. The question asks for the most likely additional finding. The patient has chronic hepatitis C with likely cirrhosis based on the physical exam and labs. The ultrasound image shows a nodular liver contour consistent with cirrhosis. The key piece of information is his fathers history of colon cancer, which puts the patient at increased risk for hepatocellular carcinoma given his cirrhosis. Of the choices, elevated α-fetoprotein would be expected with hepatocellular carcinoma. The other findings do not fit with the clinical scenario.C: Elevated α-fetoprotein 