<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 a dry cough and worsening shortness of breath with exertion for the past 6 months. She used to go running three times each week but had to stop because of decreased exercise tolerance and pain in the bilateral ankles. Two months ago, she was in Nigeria for several weeks to visit her family. She is allergic to cats and pollen. She has smoked one pack of cigarettes daily for the past 17 years. Her vital signs are within normal limits. Examination shows multiple 1.5- to 2-cm, nontender lymph nodes in the axillae. A few crackles are heard on auscultation of the chest. Her serum calcium concentration is 11.7 mgdL. An x-ray of the chest shows enlarged hilar lymph nodes bilaterally and reticular opacities in both lungs. Which of the following is the most likely cause of these findings?? A: Necrotizing inflammation, B: Granulomatous inflammation, C: Neoplastic transformation, D: Viral infection, E: Air trapping,  <response>: Based on the information provided in the question stem, the key findings are:- 35-year-old woman with 6 months history of dry cough, shortness of breath, and decreased exercise tolerance - Recent travel to Nigeria- Smoker- Enlarged, nontender lymph nodes in axillae - Crackles on lung auscultation- Reticular opacities on chest X-ray- Elevated serum calcium levelThe chronic cough, shortness of breath, crackles, and reticulo-nodular findings on imaging are suggestive of a pulmonary process. The enlarged lymph nodes and travel history raise suspicion for an infectious or inflammatory etiology. The elevated calcium level further points towards a granulomatous disease. Of the choices provided, granulomatous inflammation is most consistent with the clinical presentation and findings described. The other options are less likely based on the information provided.B: Granulomatous inflammation 