Nodular sclerosis variant of HL
The presence of lacunar variant of Reed Sternberg cell is suggestive of Nodular sclerosis variant.
The other options-
Lymphocyte predominant HL-the RS cells are positive for CD 20 and BCL 6 and are negative for CD 15 and 30.
Lymphocyte depleted occurs in elderly and HIV positive individuals.
Mixed cellularity is common in elderly and males and is characterized by the presence of constitutional symptoms.