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A 32-year-old woman presents to your office with complaints of dyspnea, constipation, menorrhagia, and fatigue that are new over the last week. She has a distant history of Hodgkin's disease treated with chemotherapy and radiation to the chest. She has a history of mild asthma, is a smoker, and denies alcohol use. Her physical exam reveals a well-developed woman, who appears comfortable at rest. Her temperature is 36.7° C, pulse 92, blood pressure 120/64, respirations of 16, and oxygen saturation of 93% on room air. Her lung exam shows good air movement with occasional end expiratory wheezes. She has no adenopathy and the remainder of her exam is unremarkable. Her CBC with WBC differential is normal.