Case Presentation: A 32 year old female with morbid obesity presents with acute onset chest pain and dyspnea. Vitals notable for HR 130s, BP 117/71, RR 22, 99% RA. Cardiopulmonary exam was unremarkable. Labs were notable for troponin 0.266, BNP 679 and lactic acid 3.7. CXR was clear and lower extremity ultrasound was negative for [...]