Case Presentation: A 36-year-old female with past medical history of endometrial polyp and lumbar degenerative disease presented with chest pressure, lower extremity swelling, and shortness of breath for four days. Physical examination revealed increased work of breathing, bilateral crackles, and trace lower extremity edema. Lab work showed elevated NT-Pro-BNP of 5930 pg/ml, mildly elevated creatinine, [...]