HISTORY OF PRESENT ILLNESS:  The patient is a 49 year old otherwise healthy female, on only aspirin 81 mg daily, who comes in after a routine physical examination and her primary care physician having heard [**Name Initial (PRE) **] murmur.
 Patient has a negative ROS
(ROOT (NP (NP (NP (NN HISTORY)) (PP (IN OF) (NP (JJ PRESENT) (NNS ILLNESS)))) (: :) (S (NP (DT The) (NN patient)) (VP (VBZ is) (NP (NP (DT a) (CD 49) (NN year)) (JJ old) (ADJP (RB otherwise) (JJ healthy)) (NN female)) (, ,) (PP (IN on) (NP (RB only) (NN aspirin) (CD 81) (NN mg))) (ADVP (ADVP (RB daily)) (, ,) (SBAR (WHNP (WP who)) (S (VP (VBZ comes) (PRT (IN in)) (PP (IN after) (NP (NP (DT a) (JJ routine) (JJ physical) (NN examination)) (CC and) (NP (NP (PRP$ her) (JJ primary) (NN care) (NN physician)) (VP (VBG having) (VP (VBN heard) (S (-LRB- -LSB-) (VP (SYM **) (S (VP (VB Name) (NP (ADJP (ADJP (JJ Initial)) (PRN (-LRB- -LRB-) (NP (NN PRE)) (-RRB- -RRB-))) (X (SYM **)) (-RRB- -RSB-) (NN murmur))))))))))))))))) (. .)))
(ROOT (S (NP (NN Patient)) (VP (VBZ has) (NP (DT a) (JJ negative) (NN ROS)))))
( ( ( ( HISTORY ( OF ( PRESENT ILLNESS ) ) ) : ) ( ( The patient ) ( ( ( ( is ( ( a ( 49 year ) ) ( old ( ( otherwise healthy ) female ) ) ) ) , ) ( on ( only ( aspirin ( 81 mg ) ) ) ) ) ( ( daily , ) ( who ( ( comes in ) ( after ( ( ( a ( routine ( physical examination ) ) ) and ) ( ( her ( primary ( care physician ) ) ) ( having ( heard ( -LSB- ( ** ( Name ( ( Initial ( -LRB- ( PRE -RRB- ) ) ) ( ** ( -RSB- murmur ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) . )
( Patient ( has ( a ( negative ROS ) ) ) )