The patient was reportedly in his usual state of health until approximately one week prior to admission when he reports progressive lethargy and fatigue with three to four days of dyspnea on exertion.
 Patient has normal history
(ROOT (S (NP (DT The) (NN patient)) (VP (VBD was) (ADVP (RB reportedly)) (PP (IN in) (NP (NP (PRP$ his) (JJ usual) (NN state)) (PP (IN of) (NP (NN health))))) (PP (IN until) (NP (NP (QP (RB approximately) (CD one)) (NN week)) (ADJP (RB prior) (PP (TO to) (NP (NP (NN admission)) (SBAR (WHADVP (WRB when)) (S (NP (PRP he)) (VP (VBZ reports) (NP (NP (JJ progressive) (NN lethargy)) (CC and) (NP (NP (NN fatigue)) (PP (IN with) (NP (NP (QP (CD three) (TO to) (CD four)) (NNS days)) (PP (IN of) (NP (NN dyspnea))) (PP (IN on) (NP (NN exertion)))))))))))))))) (. .)))
(ROOT (S (NP (NN Patient)) (VP (VBZ has) (NP (JJ normal) (NN history)))))
( ( The patient ) ( ( ( ( was reportedly ) ( in ( ( his ( usual state ) ) ( of health ) ) ) ) ( until ( ( ( approximately one ) week ) ( prior ( to ( admission ( when ( he ( reports ( ( ( progressive lethargy ) and ) ( fatigue ( with ( ( ( ( ( three to ) four ) days ) ( of dyspnea ) ) ( on exertion ) ) ) ) ) ) ) ) ) ) ) ) ) ) . ) )
( Patient ( has ( normal history ) ) )