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': 1959}
</PatientData>
Based on the trajectory above, which diagnosis is the patient **most likely** to receive by 1978-01-23?
A. Pulmonary emphysema (disorder)
B. Prediabetes
C. Localized  primary osteoarthritis of the hand
D. Proliferative diabetic retinopathy due to type II diabetes mellitus (disorder)
E. Hypertension
Please share a single capital letter representing your selected answer: 
Pulmonary emphysema (disorder) Prediabetes Localized  primary osteoarthritis of the hand Proliferative diabetic retinopathy due to type II diabetes mellitus (disorder) Hypertension