You are answering a USMLE-style medical question. Question: A 65-year-old man with a longstanding history of poorly-controlled hypertension and no recent illness or cardiac disease presents to clinic complaining of chest pain that is worse on inspiration and relieved by sitting forward. Vital signs are stable. On exam, you detect a friction rub. Routine labs show K 7.5 and Cr 5.1. If this patient's clinical signs and laboratory findings are indicative of a chronic condition, what would be expected on urinary analysis? Options: A) Muddy brown granular casts B) Red blood cell casts C) Fatty casts D) Broad and waxy casts Reply with ONLY the letter of the correct answer (A, B, C, or D). No explanation.