,CARDIOVASCULAR:  A 2/6 systolic ejection murmur (SEM), regular sinus rhythm (RSR).,LUNGS:  Clear to auscultation with an occasional productive cough.
,CARDIOVASCULAR : A 2/6 systolic ejection murmur ( SEM ) , regular sinus rhythm ( RSR).,LUNGS : Clear to auscultation with an occasional productive cough .