___ y/o non-smoking female denied systemic disease before. She had intermittent dry cough during the night time, with constant rhinorrhea accompanied mentioned. This time She had an episode of URI with sneeze, rhinorrhea, and sore throat since 3 days ago. However sudden onset of shortness of breath was found, and Atypical gradually progressing during the last 3 days. There was also pneumonia worsening cough without sputum, mild chest tightness which hardly localized without radiation or any precipitating/relieving factors noticed. Tonight she found herself hardly can catch a breath with cold sweating found by her family, hence she was brought to our ER. ___ y/o non-smoking males, who smoked 1PPD for 20 yrs and quit for 5 yrs, has had pHx of 1) CAD, DVD, s/p PTCA+stent over RCA and 2) pAf, both under medication control. This time he found himself with dry cough with scant sputum which scattering with Hemoptysi few fresh blood for 1 week. There was no fever, no shorness of s breath, no chest pain or chest tightness, no body weight loss, no coffee ground vomitus, and no tarry stool was noticed. Due to the bothersome condition mentioned above, he came to our CM OPD for further evalaution. ___ y/o smoking male, who smoked 1.5PPD for 30 yrs, denied systemic disease before. He also denied any medication allergic Hx. Since 2 months ago, he found himself having productive cough with scant whitish sputum, and even turned coating with scattering black blood clot in recent 2 weeks. Besides shortness of breath was also found, which worsen during exercise and relieved Lung by rest was recalled. Body weight loss was also noticed by his cancer wife, which minus about 6 kg in compared to previous weight he can recalled in 5 months ago. Recently worsening hemosputum was noticed, and he also found himself barely can lying flat for sleep for last 3 days. Besides dull but persistent R’t hip pain was also found. Due to the condition mentioned above, he came to our OPD for further evalaution. ___ y/o non-smoking female denied systemic disease before. She also denied any any medication allergic Hx. She had a common cough episdoe in about 10 days ago, with cough, rhinorrhea, headache, and general soreness found. High fever at first 3 days was also noticed. General condition improved under LMD Pneumonia medication. However persistent cough with yellowish sputum, which even worsening since 2 days ago was noticed. Shortnes of breath was also mentioned. There was also intermittent high fever up to 39C noticed, with chillness accompanied. Besides R’t lateral chest pain was also noticed at the same time. Due to the condition mentioned above, she was brought to our ER for further help.