CHIEF COMPLAINT: left upper lobe opacity which persisted over 3
months.

PRESENT ILLNESS: Ms. [**Known lastname 73890**] is an 82-year-old woman who was
thought to have a pneumonia earlier this year and was found
to have a left upper lobe opacity which persisted over 3

MEDICAL HISTORY: MVP, irregular heartbeat, thyroid nodule, arthritis, s/p
partial thyroidectomy, balloon plasty of Schatzki ring.

MEDICATION ON ADMISSION: 75 mcg Levoxyl daily, 25 mg atenolol daily, 81 mg ASA daily,
Caltrate, vitamin D, MVI.

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 82 yo F in NAD w/ VSS
HEENT: unremarkable
CHEST: CTA bilat
COR: RRR S!, S@
ABD: soft, NT, ND, +BS
Extrem: no C/C/E
neuro: intact

FAMILY HISTORY: 

SOCIAL HISTORY: 
Malignant neoplasm of upper lobe, bronchus or lung
Mal neo upper lobe lung
Admission Date:  [**2198-7-30**]              Discharge Date:   [**2198-8-3**]


Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 5790**]
Chief Complaint:
left upper lobe opacity which persisted over 3
months.


Major Surgical or Invasive Procedure:
1. Bronchoscopy.
2. Cervical mediastinoscope.
3. VATS left upper lobe wedge resection.
4. VATS left upper lobectomy.
5. Mediastinal lymph node dissection.


History of Present Illness:
Ms. [**Known lastname 73890**] is an 82-year-old woman who was
thought to have a pneumonia earlier this year and was found
to have a left upper lobe opacity which persisted over 3


Past Medical History:
 MVP, irregular heartbeat, thyroid nodule, arthritis, s/p
partial thyroidectomy, balloon plasty of Schatzki ring.

Physical Exam:
82 yo F in NAD w/ VSS
HEENT: unremarkable
CHEST: CTA bilat
COR: RRR S!, S@
ABD: soft, NT, ND, +BS
Extrem: no C/C/E
neuro: intact


Pertinent Results:
CXR [**8-3**]
IMPRESSION:
1. Small left basilar pneumothorax. One of the two previously
seen chest tubes has been removed.
2. Interval improvement of left perihilar opacity.
3. Slight improvement of subcutaneous emphysema.


Brief Hospital Course:
pt was admitted on [**7-30**] and taken to the OR for
Bronchoscopy,Cervical ,mediastinoscope, VATS left upper lobe
wedge resection, VATS left upper lobectomy, Mediastinal lymph
node dissection. one chest tube and two sugical pleural blakes
were placed at the end of the case. Peri-op course was
complicated by an IV infiltrate of the RUE. Pt was admitted to
the ICU for observation. Vasc was consulted and compartment
syndrome was ruled out- elevation of the extremity was
recommended.

On POD#1 pt was noted to have SQ air and chest tube and blakes
were patent and draining w/ small air leak on water seal. Pt
developed significantly increased SQ air and chest tube and
[**Doctor Last Name **] drains were placed to sxn.
On POD#3 chest drains were placed on water seal and the chest
tube was removed. CXR showed stable appearance and no further
increase in SQ air.
On POD#4 [**Doctor Last Name **] drains were removed and cxr was again stable.
Pt was d/c/'d to home w/ VNA services.


Medications on Admission:
75 mcg Levoxyl daily, 25 mg atenolol daily, 81 mg ASA daily,
Caltrate, vitamin D, MVI.

Discharge Medications:
1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
2. Levothyroxine 25 mcg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
3. Atenolol 25 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
4. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
5. Hexavitamin     Tablet Sig: One (1) Cap PO DAILY (Daily).
6. Hydrocodone-Acetaminophen 5-500 mg Tablet Sig: One (1) Tablet
PO every 4-6 hours as needed for pain.
Disp:*70 Tablet(s)* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Company **] [**Last Name (un) **]

Discharge Diagnosis:
Left upper lobe lesion
Mitral Valve Prolapse
Irrgular heartbeat
Thyroid nodule
Schatzki ring s/p balloon plasty
Arthritis
Status post thyroidectomy
Right cataract removal


Discharge Condition:
Good


Discharge Instructions:
Call Dr.[**Name (NI) 2347**] office [**Telephone/Fax (1) 170**] if experience:
-Fever >101 or chills
-Increased shortness of breath, cough or sputum production
-Chest pain
-Dressing: chest tube site remove dressing on sunday.
You may shower Sunday then cover site with a clean bandaid
Should site start to drain cover with a clean dressing and
change as needed to keep clean and dry
No swimming or bathing for 4 weeks
No driving while taking narcotics: take stool softners with
narcotics


Followup Instructions:
Follow-up with Dr. [**Last Name (STitle) **] on [**8-16**] at 9:30am at
the [**Hospital Ward Name 516**] [**Hospital Ward Name 23**] Clinical Center, [**Location (un) **]
Report to the [**Location (un) **] radiology for a chest x-ray 45 minutes
before your appointment.
Follow-up with your PCP [**Last Name (NamePattern4) **]. [**Last Name (STitle) 28745**] [**Telephone/Fax (1) 37283**]



Completed by:[**2198-8-21**]
{'Malignant neoplasm of upper lobe, bronchus or lung'}


You are an AI assistant analyzing clinical admission notes from the MIMIC III dataset. Your task is to map symptoms mentioned in the notes to a list of provided ICD-9 LONG_TEXT.



### Clinical text :
CHIEF COMPLAINT: left upper lobe opacity which persisted over 3
months.

PRESENT ILLNESS: Ms. [**Known lastname 73890**] is an 82-year-old woman who was
thought to have a pneumonia earlier this year and was found
to have a left upper lobe opacity which persisted over 3

MEDICAL HISTORY: MVP, irregular heartbeat, thyroid nodule, arthritis, s/p
partial thyroidectomy, balloon plasty of Schatzki ring.

MEDICATION ON ADMISSION: 75 mcg Levoxyl daily, 25 mg atenolol daily, 81 mg ASA daily,
Caltrate, vitamin D, MVI.

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 82 yo F in NAD w/ VSS
HEENT: unremarkable
CHEST: CTA bilat
COR: RRR S!, S@
ABD: soft, NT, ND, +BS
Extrem: no C/C/E
neuro: intact

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Malignant neoplasm of upper lobe, bronchus or lung'}
