You are an assistant tasked with analyzing medical histories to provide a second opinion on possible future diagnoses.

<PatientData>
Demographics: {'race': 'White', 'gender': 'FEMALE', 'year of birth': 1945}
Prior Diagnosis 1: {'condition': 'Hypertension', 'condition status': 'Not Extracted', 'start date': '1963-11-09', 'end date': None}
</PatientData>
Based on the trajectory above, which diagnosis is the patient **most likely** to receive by 2008-04-21?
A. Bullet wound
B. Primary fibromyalgia syndrome
C. Acute viral pharyngitis (disorder)
D. Otitis media
E. Localized  primary osteoarthritis of the hand
Please share a single capital letter representing your selected answer: 
Bullet wound Primary fibromyalgia syndrome Acute viral pharyngitis (disorder) Otitis media Localized  primary osteoarthritis of the hand