(S (S (S (BASENP (PRP She)) (VP (ADVP (RB also)) (VP (VBD underwent) (NP (BASENP (NN surgery)) (SBAR (S (VP (TO to) (VP (VB remove) (BASENP (PRPD her) (NN appendix)))))))))) (COMMA ,) (SBAR (IN because) (S (BASENP (PRP it)) (VP (VP (MD would) (VP (VB be) (ADJP (JJ difficult)))) (S (VP (TO to) (VP (VB diagnose) (NP (BASENP (NNS appendicitis)) (VP (VBN given) (NP (BASENP (NNP Ashley) (POS 's)) (BASENP (JJ low) (NN communication) (NNS possibilities)))))))))))) (PERIOD .))