egmat wrote:
Hi there,
I don't think usage of comma changes the meaning in choice E. It's just that this usage of comma is incorrect. Use of "and" between "small" and "old" makes it clear that here we have a list already. This means that the first main list has only two entities, and hence, there should not be any comma before "and". But there is meaning change in choice E.
Hope this helps.

Thanks.
Shraddha
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