<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 55-year-old woman presents to the emergency department with retrosternal pain that started this evening. The patient states that her symptoms started as she was going to bed after taking her medications. She describes the pain as sudden in onset, worse with swallowing, and not associated with exertion. The patient has a past medical history of diabetes, anemia, and congestive heart failure and is currently taking metoprolol, insulin, metformin, iron, and lisinopril. Her temperature is 99.2F 37.3C, blood pressure is 12563 mmHg, pulse is 90min, respirations are 14min, and oxygen saturation is 100 on room air. Physical exam is notable for an obese woman who appears uncomfortable. An initial electrocardiogram ECG demonstrates sinus rhythm, and a set of troponins are pending. Which of the following is the most likely diagnosis?? A: Esophageal rupture, B: Esophagitis, C: Myocardial infarction, D: Pulmonary embolism, E: Spontaneous pneumothorax,  <response>: This is a clinical vignette describing a 55-year-old woman with retrosternal chest pain that started suddenly while she was going to bed. Key aspects of the history include:- Pain is retrosternal located behind the sternum, suggesting an esophageal or cardiac cause. - Pain is worse with swallowing, suggesting an esophageal etiology.- No exertional component to the pain, making myocardial infarction less likely.- Past medical history of diabetes, anemia, congestive heart failure - risk factors for cardiovascular disease.- Vital signs are largely normal, except for mild fever and tachycardia. - ECG shows normal sinus rhythm, not suggestive of an acute MI.- Troponins are pending, which will help rule inout myocardial infarction.Based on the sudden onset of retrosternal pain worse with swallowing, in a patient with multiple comorbidities, the most likely diagnosis is esophagitis or esophageal rupture. Of the choices given, esophagitis choice B is most consistent.B: Esophagitis 