<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 51-year-old woman presents the following significant and unintentional weight loss. She denies any personal history of blood clots in her past, but she says that her mother has also had to be treated for pulmonary embolism in the recent past. She also mentions that she had been struggling with her weight, so she was initially content with losing the weight, but her daughter convinced her to come to the office to be checked out. Her past medical history is significant for preeclampsia, hypertension, polycystic ovarian syndrome, and hypercholesterolemia. She currently smokes 1 pack of cigarettes per day, drinks a glass of wine per day, and she currently denies any illicit drug use, although she has a remote past of injection drug use with heroin. The vital signs include: temperature 36.7C 98.0F, blood pressure 12674 mm Hg, heart rate 111min and irregular, and respiratory rate 17min. On physical examination, her pulses are bounding and complexion is pale, but breath sounds remain clear. Oxygen saturation was initially 91 on room air and electrocardiogram ECG showed atrial fibrillation. Upon further discussion with the patient, her physician discovers that she is having some cognitive difficulty. Her leukocyte count is elevated to 128,000mm3, and she has elevated lactate dehydrogenase LDH, uric acid, and B-12 levels. A BCR-ABL translocation is present, as evidenced by the Philadelphia chromosome. What is the most likely diagnosis for this patient?? A: Acute lymphocytic leukemia, B: Acute myelogenous leukemia, C: Chronic lymphocytic leukemia, D: Chronic myelogenous leukemia, E: Hairy cell leukemia,  <response>: Based on the information provided in the question stem, the key findings are:- 51-year-old woman with unintentional weight loss - Personal history of preeclampsia, hypertension, PCOS, hypercholesterolemia- Family history of pulmonary embolism in mother- Smokes 1 pack per day, drinks wine daily, past IV heroin use- Vital signs show tachycardia and low oxygen saturation- Physical exam shows pale complexion, bounding pulses, clear breath sounds- Lab findings show high white blood cell count, elevated LDH, uric acid, B12- Presence of Philadelphia chromosome and BCR-ABL translocationThese findings, especially the very high white blood cell count, presence of the Philadelphia chromosome, and BCR-ABL translocation, point towards a diagnosis of chronic myelogenous leukemia CML. The weight loss, bounding pulses, and pale complexion also support a diagnosis of leukemia.D: Chronic myelogenous leukemia 