",HISTORY OF PRESENT ILLNESS:, The patient is a 66-year-old African American gentleman with a past medical history of atrial fibrillation and arthritis who presented c/o progressively worsening shortness of breath. 
",HISTORY OF PRESENT ILLNESS : , The patient is a 66 - year - old African American gentleman with a past medical history of atrial fibrillation and arthritis who presented c / o progressively worsening shortness of breath .