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

<PatientData>
Demographics: {'race': 'White', 'gender': 'MALE', 'year of birth': 1932}
Prior Diagnosis 1: {'condition': 'Appendicitis', 'condition status': 'Not Extracted', 'start date': '1945-11-19', 'end date': None}
Prior Diagnosis 2: {'condition': 'History of appendectomy', 'condition status': 'Not Extracted', 'start date': '1945-11-19', 'end date': None}
Medication 1: {'Drug name': 'Penicillin V Potassium 250 MG', 'Start datetime': '1941-07-02', 'End datetime': '1941-07-02', 'Route': None, 'Quantity': 'Not Extracted', 'Stop Reason': 'Not Extracted', 'Dose Unit': 'Not Extracted'}
Medication 2: {'Drug name': 'Penicillin V Potassium 250 MG', 'Start datetime': '1943-12-18', 'End datetime': '1943-12-18', 'Route': None, 'Quantity': 'Not Extracted', 'Stop Reason': 'Not Extracted', 'Dose Unit': 'Not Extracted'}
Medication 3: {'Drug name': 'Penicillin V Potassium 500 MG', 'Start datetime': '1952-02-16', 'End datetime': '1952-02-16', 'Route': None, 'Quantity': 'Not Extracted', 'Stop Reason': 'Not Extracted', 'Dose Unit': 'Not Extracted'}
</PatientData>
Based on the trajectory above, which diagnosis is the patient **most likely** to receive by 1991-04-21?
A. Fracture subluxation of wrist
B. Chronic paralysis due to lesion of spinal cord
C. Child attention deficit disorder
D. Pathological fracture due to osteoporosis (disorder)
E. Gout
Please share a single capital letter representing your selected answer: 
Fracture subluxation of wrist Chronic paralysis due to lesion of spinal cord Child attention deficit disorder Pathological fracture due to osteoporosis (disorder) Gout