,IMPRESSION: , She is an 81-year-old woman with severe O2 requiring chronic obstructive pulmonary disease with evidence of right heart overload, as well as known coronary artery disease status post single-valve bypass in 1971 suffering a right hip fracture for whom a right hip replacement is being considered. 
,IMPRESSION : , She is an 81 - year - old woman with severe O2 requiring chronic obstructive pulmonary disease with evidence of right heart overload , as well as known coronary artery disease status post single - valve bypass in 1971 suffering a right hip fracture for whom a right hip replacement is being considered .