A 35-Year-Old Man Presented to the Office Due to Recurrent

A 35-year-old man presented to the office due to recurrent chest pain. The patient describes pain that the pain extends from the neck down his chest. It has a special onset after fried food. It has no radiation. It does not relate to exercise, not being relieved with rest. The pain awakens him from sleep. Cardiac assessment is normal. A thoracic CT image near the level of the aortic arch is shown below. This patient's presentation is related to which of the following structures?

A) A
B) B
C) C
D) D
E) E