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55 year old woman presents with sudden dyspnea on exertion and chest pain. No cough, wheeze, or hemoptysis. She had renal cell carcinoma of the left kidney and had left nephrectomy 2 weeks prior to admission.Obese with BMI 38 kg/m2BP 100/70, HR 120, RR 32, temp 38.1Chest exam is within normalH

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