Cardiovascular S1 and S2 without murmur.
 The patient the patient does not have congestive heart failure. 
(ROOT (NP (NP (NP (NNP Cardiovascular) (NN S1) (CC and) (NN S2)) (PP (IN without) (NP (NN murmur)))) (. .)))
(ROOT (NP (NP (NP (DT The) (NN patient)) (SBAR (S (NP (DT the) (NN patient)) (VP (VBZ does) (RB not) (VP (VB have) (NP (JJ congestive) (NN heart) (NN failure))))))) (. .)))
( ( ( Cardiovascular ( ( S1 and ) S2 ) ) ( without murmur ) ) . )
( ( ( The patient ) ( ( the patient ) ( ( does not ) ( have ( congestive ( heart failure ) ) ) ) ) ) . )