<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 63-year-old man comes to the physician because of shortness of breath and swollen extremities for 2 weeks. He has had excessive night sweats and a 4-kg 8.8-lb weight loss over the last 8 weeks. He had an anterior myocardial infarction 3 years ago. He has type 2 diabetes mellitus and hypertension. He immigrated from Indonesia 4 months ago. He works in a shipyard. He has smoked one pack of cigarettes daily for 48 years. Current medications include insulin, aspirin, simvastatin, metoprolol, and ramipril. He is 160 cm 5 ft 3 in tall and weighs 46.7 kg 103 lb; BMI is 18.2 kgm2. His temperature is 38.0C 100.4F, pulse is 104min, respirations are 20min, and blood pressure is 13595 mm Hg. Examination shows generalized pitting edema. There is jugular venous distention, hepatomegaly, and a paradoxical increase in jugular venous pressure on inspiration. Chest x-ray shows bilateral pleural effusion, patchy infiltrates in the right middle lobe, and pericardial thickening and calcifications. Laboratory studies show:SerumUrea nitrogen 25 mgdLCreatinine 1.5 mgdLUrineBlood negativeGlucose negativeProtein 1Which of the following is the most likely explanation for this patients symptoms?? A: Viral myocarditis, B: Tuberculosis, C: Amyloidosis, D: Asbestos, E: Postmyocardial infarction syndromen,  <response>: This is a clinical case question involving a 63-year-old man with shortness of breath, swollen extremities, night sweats, weight loss, and a history of myocardial infarction, diabetes, hypertension, and smoking. The key findings are shortness of breath, swollen extremities, weight loss, fever, tachycardia, pleural effusion, infiltrates on chest x-ray, elevated creatinine, and proteinuria. Based on the patients demographics, symptoms, and objective findings, the differential diagnosis includes:A Viral myocarditis - Unlikely, does not explain full constellation of symptoms and findings. Myocarditis would not cause pleural effusions or lung infiltrates.B Tuberculosis - Most likely given the constitutional symptoms, abnormal chest x-ray, elevated creatinine and proteinuria. His origin from Indonesia makes TB more likely. C Amyloidosis - Can cause nephrotic syndrome but does not explain lung findings. No evidence of heart failure.D Asbestos - Asbestos exposure can cause pleural effusions but does not explain constitutional symptoms or renal dysfunction. No pulmonary fibrosis.E Post-MI syndrome - Unlikely to cause fever, lung findings, or renal dysfunction this long after an MI.B: Tuberculosis 