 The patient presented initially to the Pulmonary Clinic with dyspnea on minimal exertion.  At that time, she was evaluated and found to have evidence for sleep disruption and daytime fatigue.  She also complained of nocturnal choking episodes that have since abated over the past several months.  In the meantime, she had been scheduled for an overnight sleep study performed to evaluate her for sleep apnea, returns today to review her study results.