<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 4-year-old girl is brought to the clinic by her parents, who are concerned about an abdominal swelling that they noticed 2 days ago. The family immigrated from Bangladesh to the United States recently. The mother mentions that the girl has never been as active as other children of the same age but has no medical conditions either. Her appetite has declined, and she vomited a few times last week. On physical examination, slight prominence of frontal bosses at the forehead is noticeable with malar prominence and massive splenomegaly. Slight beading at the end of her ribs is evident. She has a dusky complexion, sclerae are anicteric, and oral mucosa is pale. Laboratory results are pending. Which of the following is the most likely explanation for the findings seen in this patient?? A: Glycogen storage disease, B: Graves disease, C: Renal failure, D: Extramedullary hematopoiesis due to thalassemia, E: Lymphoma,  <response>: This is a clinical case scenario involving a 4-year-old girl with abdominal swelling, decreased appetite, vomiting, frontal bossing, malar prominence, massive splenomegaly, rib beading, pale mucosa, and a recent immigration history from Bangladesh. The key findings pointing towards the diagnosis are:- Origin from Bangladesh suggests a high likelihood of thalassemia given the high prevalence in that region- Massive splenomegaly and rib beading indicate extramedullary hematopoiesis which can occur in thalassemia to compensate for anemia- Facial bone changes with frontal bossing and malar prominence can be seen in thalassemia- Pale mucosa indicates anemiaThe other answer choices are less likely given the clinical scenario. Glycogen storage diseases and renal failure would not cause the bone changes seen. Graves disease could cause bone changes but would not explain the massive splenomegaly. Lymphoma may cause splenomegaly but other features do not fit.D: Extramedullary hematopoiesis due to thalassemia 