<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:An 11-year-old boy is brought to the emergency department with sudden and severe pain in the left scrotum that started 2 hours ago. He has vomited twice. He has no dysuria or frequency. There is no history of trauma to the testicles. The temperature is 37.7C 99.9F. The left scrotum is swollen, erythematous, and tender. The left testis is elevated and swollen with a transverse lie. The cremasteric reflex is absent. Ultrasonographic examination is currently pending. Which of the following is the most likely diagnosis?? A: Epididymitis, B: Germ cell tumor, C: Mumps orchitis, D: Spermatocele, E: Testicular torsion,  <response>: Based on the description, this is likely a case of testicular torsion. The key findings are:- Sudden and severe pain in the left scrotum - Left testis is swollen and elevated with a transverse lie- Absent cremasteric reflex- No history of trauma These point towards compromised blood flow to the left testis, likely due to twisting of the spermatic cord testicular torsion. This is a surgical emergency requiring prompt detorsion to salvage the testis. E: Testicular torsion 