During a routine checkup a 70 year old male is found to have Serum Alkaline Phosphatase three time the upper limit of normal. Serum Calcium, Serum Phosphorous and liver function tests are normal. The most likely diagonsis is______________?

A. Metastatic bone disease

B. Pagets disease of the bone

C. Primary hyperparathyroidism

D. Osteomalacia

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