<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 41-year-old man presents to the emergency department because of brownish discoloration of his urine for the last several days. The review of symptoms includes complaints of increasing abdominal girth, early satiety, and difficulty breathing on exertion. The past medical history includes essential hypertension for 19 years. The medication list includes lisinopril and hydrochlorothiazide. He had a right inguinal hernia repair when he was a teenager. He smokes 2030 cigarettes daily for the last 21 years, and drinks alcohol socially. His father died of a hemorrhagic stroke at the age of 69 years. The vital signs include: temperature 37.0C 98.6F, blood pressure 13188 mm Hg, and pulse 82min. The physical examination is positive for a palpable right upper quadrant mass. The abdominal ultrasound shows multiple bilateral kidney cysts and hepatic cysts. Which of the following is the most likely diagnosis?? A: Renal cell carcinoma, B: Von Hippel-Lindau syndrome, C: Simple kidney cyst, D: Medullary sponge kidney, E: Autosomal dominant polycystic kidney disease,  <response>: Based on the description in the question stem, the key findings are brownish discoloration of urine, increasing abdominal girth, early satiety, difficulty breathing on exertion, long history of hypertension, palpable right upper quadrant mass, and ultrasound showing bilateral kidney and hepatic cysts. This constellation of symptoms and findings is most consistent with autosomal dominant polycystic kidney disease ADPKD. The bilateral kidney and hepatic cysts on imaging confirm the diagnosis. The other answer choices do not fit with the clinical presentation.E: Autosomal dominant polycystic kidney disease 