单项选择题
Life expectancy among adults 45 and 65 years
of age by family income, sex, and race: United States, average annual
1979-89

In the figure above, the diameter of the circle is 20 and the area of the shaded region is 80π. What is the value of a + b + c + d
A. 144
B. 216
C. 240
D. 270
E. 288