HISTORY OF PRESENT ILLNESS:  The patient is a 69-year-old gentleman with a past medical history significant for longstanding diabetes mellitus, coronary artery disease, and peripheral vascular disease who had been followed by Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 1393**] for a painful nonhealing ulceration in the medial aspect of his right fifth toe.
 the patient has no evidence of peripheral vascular disease
(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) (JJ 69-year-old) (NN gentleman)) (PP (IN with) (NP (NP (DT a) (JJ past) (JJ medical) (NN history)) (ADJP (JJ significant) (PP (IN for) (NP (NP (JJ longstanding) (NN diabetes) (NN mellitus)) (, ,) (NP (JJ coronary) (NN artery) (NN disease)) (, ,) (CC and) (NP (NP (JJ peripheral) (JJ vascular) (NN disease)) (SBAR (WHNP (WP who)) (S (VP (VBD had) (VP (VBN been) (VP (VBN followed) (PP (IN by) (FRAG (NP (NNP Dr.)) (-LRB- -LSB-) (NP (SYM **) (LS First) (NP (NP (NN Name4)) (PRN (-LRB- -LRB-) (NP (NN NamePattern1)) (-RRB- -RRB-))) (X (SYM **)) (-RRB- -RSB-) (-LRB- -LSB-) (SYM **) (NP (NP (NP (JJ Last) (NN Name)) (PRN (-LRB- -LRB-) (NP (NN NamePattern1)) (-RRB- -RRB-))) (PRN (CD 1393) (X (X (SYM **)) (-RRB- -RSB-) (PP (IN for) (NP (NP (DT a) (JJ painful) (JJ nonhealing) (NN ulceration)) (PP (IN in) (NP (NP (DT the) (JJ medial) (NN aspect)) (PP (IN of) (NP (PRP$ his) (JJ right) (JJ fifth) (NN toe))))))))))))))))))))))))))) (. .)))
(ROOT (S (NP (DT the) (NN patient)) (VP (VBZ has) (NP (NP (DT no) (NN evidence)) (PP (IN of) (NP (JJ peripheral) (JJ vascular) (NN disease)))))))
( ( ( ( HISTORY ( OF ( PRESENT ILLNESS ) ) ) : ) ( ( The patient ) ( is ( ( a ( 69-year-old gentleman ) ) ( with ( ( a ( past ( medical history ) ) ) ( significant ( for ( ( ( ( ( ( longstanding ( diabetes mellitus ) ) , ) ( coronary ( artery disease ) ) ) , ) and ) ( ( peripheral ( vascular disease ) ) ( who ( had ( been ( followed ( by ( Dr. ( -LSB- ( ** ( First ( ( ( ( ( ( Name4 ( -LRB- ( NamePattern1 -RRB- ) ) ) ** ) -RSB- ) -LSB- ) ** ) ( ( ( Last Name ) ( -LRB- ( NamePattern1 -RRB- ) ) ) ( 1393 ( ** ( -RSB- ( for ( ( a ( painful ( nonhealing ulceration ) ) ) ( in ( ( the ( medial aspect ) ) ( of ( his ( right ( fifth toe ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) . )
( ( the patient ) ( has ( ( no evidence ) ( of ( peripheral ( vascular disease ) ) ) ) ) )