A (b)(6) male with hx of hodgkin's disease state iiia (completed chemotherapy (b)(6) 2012), therapy related aml m6 s/p stem cell transplant (b)(6) 2014 c/b gvhd, hfpef (lvef 45 percent) who presents to ed with dyspnea and right-sided chest pain.Pt reports doe for last month to 1/2 block, acutely worsening in am on (b)(6) 2017 to sob at rest.More pronounced with movement.Associated with dry cough.Also notes r-sided chest pain, worsened with inspiration or coughing, moving right arm.Patient has been receiving extracorporeal photopheresis on therakos cellex machine.Last procedure prior to this event was on (b)(6) 2017.Has been on twice a week, every other week ecp procedure schedule since (b)(6) 2016.
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