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Today's case focuses on a 70-year-old male with acute heart failure. He has been experiencing progressive shortness of breath at rest, swollen legs, difficulty walking, coughing up clear sputum, and is unable to lie flat for about a month. Additionally, he wakes up short of breath in the middle of the night and needs to sit upright for relief. He has no fevers, bladder pain, coughs, colds, or sniffles.