HISTORY OF PRESENT ILLNESS:   The patient is a 64 year old white male with a history of hypertension, hyperlipidemia, chronic obstructive pulmonary disease and diabetes mellitus who presented to an outside hospital on the day prior to admission with chest pain and EKG changes.
 The patient has acute coronary syndrome. 
(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) (ADJP (CD 64) (NN year) (JJ old)) (JJ white) (NN male)) (PP (IN with) (NP (NP (DT a) (NN history)) (PP (IN of) (NP (NP (NN hypertension)) (, ,) (NP (NN hyperlipidemia)) (, ,) (NP (JJ chronic) (JJ obstructive) (JJ pulmonary) (NN disease)) (CC and) (NP (NP (NN diabetes) (NN mellitus)) (SBAR (WHNP (WP who)) (S (VP (VBD presented) (PP (TO to) (NP (DT an) (JJ outside) (NN hospital))) (PP (IN on) (NP (DT the) (NN day))) (ADVP (RB prior) (PP (TO to) (NP (NP (NN admission)) (PP (IN with) (NP (NP (NN chest) (NN pain)) (CC and) (NP (NNP EKG) (NNS changes)))))))))))))))))) (. .)))
(ROOT (S (NP (DT The) (NN patient)) (VP (VBZ has) (NP (JJ acute) (JJ coronary) (NN syndrome))) (. .)))
( ( ( ( HISTORY ( OF ( PRESENT ILLNESS ) ) ) : ) ( ( The patient ) ( is ( ( a ( ( 64 ( year old ) ) ( white male ) ) ) ( with ( ( a history ) ( of ( ( ( ( ( ( hypertension , ) hyperlipidemia ) , ) ( chronic ( obstructive ( pulmonary disease ) ) ) ) and ) ( ( diabetes mellitus ) ( who ( ( ( presented ( to ( an ( outside hospital ) ) ) ) ( on ( the day ) ) ) ( prior ( to ( admission ( with ( ( ( chest pain ) and ) ( EKG changes ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) . )
( ( The patient ) ( ( has ( acute ( coronary syndrome ) ) ) . ) )