Elevated serum ferritin, decreased serum iron and % transferring saturation are most consistent with the diagnosis of
Iron deficiency anemia
Thalassemia
Anemia of chronic disease
Sideroblastic anemia
Answer is C (Anemia of chronic disease) Decreased Serum Iron Levels, Decreased Transferrin Saturation and Increased Serum Ferritin Levels are typical features of Anemia of Chronic Disease.