<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 34-year-old man presents to a clinic with complaints of abdominal discomfort and blood in the urine for 2 days. He has had similar abdominal discomfort during the past 5 years, although he does not remember passing blood in the urine. He has had hypertension for the past 2 years, for which he has been prescribed medication. There is no history of weight loss, skin rashes, joint pain, vomiting, change in bowel habits, and smoking. On physical examination, there are ballotable flank masses bilaterally. The bowel sounds are normal. Renal function tests are as follows:Urea 50 mgdLCreatinine 1.4 mgdLProtein NegativeRBC NumerousThe patient underwent ultrasonography of the abdomen, which revealed enlarged kidneys and multiple anechoic cysts with well-defined walls. A CT scan confirmed the presence of multiple cysts in the kidneys. What is the most likely diagnosis?? A: Autosomal dominant polycystic kidney disease ADPKD, B: Autosomal recessive polycystic kidney disease ARPKD, C: Medullary cystic disease, D: Simple renal cysts, E: Acquired cystic kidney disease,  <response>: This is a question about a patient with multiple renal cysts causing abdominal discomfort and hematuria. The key findings are:- 34-year-old male - Abdominal discomfort and hematuria for 2 days, with similar discomfort episodically over 5 years- Hypertension for 2 years, on medication- No other associated symptoms or risk factors- Bilateral ballotable flank masses on exam - Elevated creatinine and urea, RBCs in urine- Ultrasound and CT show enlarged kidneys with multiple cysts The episodic nature over years and lack of associated findings makes a genetic cystic disease most likely. ADPKD is the most common inherited cystic kidney disease in adults. It presents in the 3rd to 4th decade with enlarged cystic kidneys. ARPKD typically presents in infancy or childhood. The lack of family history does not rule out ADPKD which has variable expressivity. Medullary cystic disease and simple cysts present later and do not cause this extent of cystic change. Acquired cystic kidney disease is associated with dialysis and the patient does not have ESRD.A: Autosomal dominant polycystic kidney disease ADPKD 