Weird file in Program Files (x86) > Adobe> Acrobat Reader DC

Please provide the full path.

That seems to be a SourceCabKey that belongs to  an application extension (.dll)  of the Micrososft C Runtime Library for Visual Studio or .Net Framework.

Can you right-click on it and select properties from the context menu? If you can , then select the "Details" tab.

See if this cabKey's source file is related to these DLL's:

• msvcr110.dll
• msvcr100_clr0400.dll
• VsVersion.dll

What were you trying to install/ updating? 

In any case, maybe you'll need to update MS Windows, and if you're using MS Windows 10 update to the appropriate .Net Framework redistributable and Visual Studio library for your Windows build.

If you were trying to install Visual Studio (or a program that required Visual Studio), then you might as well check the compatibility and system requirements here: https://docs.microsoft.com/en-us/visualstudio/releases/2019/system-requirements

And if you were trying to force software that was compiled for Intel or AMD-based CPU's in a MS Surface Pro computer with ARM-based CPU architechture then be aware that you can't do that.

Also, re-check the source file path for that cabKey.

Contrary to what the computer logic is for MS Windows users, in MS Windows 10, all 32-bit modules and dependencies are registered in this directory: C:\Windows\SysWOW64   and 32 bit bit programs are executed from C:\Program Files (x86).

Recursively,  all 64 bit modules and dependencies are registered here: C:\Windows\System32  and 64 bit programs are executed from C:\Program Files.