When Performing an Otoscopic Examination on a 5-Year-Old Child with a History

When performing an otoscopic examination on a 5-year-old child with a history of chronic ear infections,the nurse sees that his right tympanic membrane is amber-yellow in colour and there are air bubbles behind the tympanic membrane.The child reports occasional hearing loss and a popping sound with swallowing.The preliminary analysis based on this information would be that:

A) this is most likely serous otitis media.
B) the child has acute purulent otitis media.
C) there is evidence of a resolving cholesteatoma.
D) the child is experiencing the early stages of perforation.