During admission, patient was noted to have acute renal failure on top of CRI secondary to multiple myeloma.
 the patient has acute renal failure
(ROOT (S (PP (IN During) (NP (NN admission))) (, ,) (NP (NN patient)) (VP (VBD was) (VP (VBN noted) (S (VP (TO to) (VP (VB have) (NP (JJ acute) (JJ renal) (NN failure)) (PP (IN on) (NP (NP (NN top)) (PP (IN of) (NP (NNP CRI) (ADJP (JJ secondary) (PP (TO to) (NP (JJ multiple) (NN myeloma))))))))))))) (. .)))
(ROOT (S (NP (DT the) (NN patient)) (VP (VBZ has) (NP (JJ acute) (JJ renal) (NN failure)))))
( ( During admission ) ( , ( patient ( ( was ( noted ( to ( ( have ( acute ( renal failure ) ) ) ( on ( top ( of ( CRI ( secondary ( to ( multiple myeloma ) ) ) ) ) ) ) ) ) ) ) . ) ) ) )
( ( the patient ) ( has ( acute ( renal failure ) ) ) )