Case Presentation: A 59-year-old female with a history of metabolic associated fatty liver disease, obstructive sleep apnea, recent cholecystectomy and gastroesophageal reflux disease presented to the emergency department with rigors, lethargy and R sided chest pain. Her presentation was notable for temperature to 101F and tachycardia. Lab work demonstrated no leukocytosis (WBC 7.7), elevated procalcitonin [...]