The correct answer is B. Xanthelasma.
The image shows xanthelasma. This is the most common type of xanthoma and usually presents on the eyelids, and is often symmetrical. Xanthelasmas are commonly seen in women with hepatic or biliary disorders, myxedema, diabetes, and phytosterolemia. Treatment is with surgical excision.
The other answer choices are not pictured in the image.
References: General Dermatology 2.1 Medical Dermatology, DIR Review book page 86
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