CHIEF COMPLAINT: 58 y/o man presents with right empyema.

PRESENT ILLNESS: Mr. [**Known lastname **] is a pleasant 58-year-old gentleman who's illness began

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Gen: NAD
Cardiac: S1S2, no M/R/G
Lungs: Right chest tube in place, course right lung breath
sounds worst at base
ABD: NT, ND, BS+
EXT: No C/C/E
Neuro: AAO X3

FAMILY HISTORY: 

SOCIAL HISTORY: 
Abscess of lung,Empyema without mention of fistula,Late effects of acute poliomyelitis,Dermatitis due to drugs and medicines taken internally,Other specified disorders of pancreatic internal secretion,Unspecified sleep apnea,Hip joint replacement
Abscess of lung,Empyema w/o fistula,Late effect acute polio,Drug dermatitis NOS,Pancreatic disorder NEC,Sleep apnea NOS,Joint replaced hip
Admission Date:  [**2145-6-13**]              Discharge Date:   [**2145-6-21**]

Date of Birth:  [**2086-11-14**]             Sex:   M

Service: CSURG

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 2969**]
Chief Complaint:
58 y/o man presents with right empyema.

Major Surgical or Invasive Procedure:
sp R decortication [**6-16**]


History of Present Illness:
Mr. [**Known lastname **] is a pleasant 58-year-old gentleman who's illness began

in early [**2145-4-20**] when he had shortness of breath and right
lower lobe infiltrate. The patient was initially treated with
antibiotics to no avail. He saw another physician who gave him a

short course of Prednisone as well as metered dose inhalers and
antibiotics. The patient did fairly well for a few days, he
stopped the Prednisone and started feeling worse again. He was
admitted to an outside hospital ([**Hospital 1562**] Hospital) on
[**2145-6-9**],
where a bronchoscopy was done on the following day. The patient
was then transferred to the [**Hospital1 69**]

on [**2145-6-14**] for further management.


Physical Exam:
Gen: NAD
Cardiac: S1S2, no M/R/G
Lungs: Right chest tube in place, course right lung breath
sounds worst at base
ABD: NT, ND, BS+
EXT: No C/C/E
Neuro: AAO X3

Pertinent Results:
[**2145-6-13**] 08:20PM   PT-13.4* PTT-27.5 INR(PT)-1.2
[**2145-6-13**] 08:20PM   PLT COUNT-340
[**2145-6-13**] 08:20PM   HYPOCHROM-1+ ANISOCYT-1+ POIKILOCY-1+
MACROCYT-NORMAL MICROCYT-NORMAL POLYCHROM-NORMAL OVALOCYT-1+
[**2145-6-13**] 08:20PM   NEUTS-96* BANDS-0 LYMPHS-3* MONOS-1* EOS-0
BASOS-0 ATYPS-0 METAS-0 MYELOS-0
[**2145-6-17**] 03:43AM BLOOD WBC-18.4* RBC-3.93* Hgb-11.5* Hct-34.7*
MCV-88 MCH-29.1 MCHC-33.1 RDW-13.4 Plt Ct-385
[**2145-6-17**] 03:43AM BLOOD UreaN-32* Creat-1.0 Na-135 Cl-102 HCO3-26
[**2145-6-17**] 03:43AM BLOOD Calcium-8.0* Phos-3.9 Mg-2.1

Brief Hospital Course:
Mr. [**Known lastname **] is a 58 year gentleman who underwent a right
thoracotomy with decortication on [**2145-6-16**]. The patient tolerated
the procedure well and was transferred to the regular thoracic
surgery floor following surgery. Please see the operative report
for additional detail. On postop day one the patient was
restarted on his home medications. He had an epidural catheter
in place for pain control and a foley catheter to drain his
bladder along with a regular house diet. The patient also had
two chest tube that were on wall suction overnight. The patient
was encouraged to use his incentive spirometer and he
experienced no untoward events during his inital post operative
day. On post op day two the patient had a chest x ray that
showed marked improvement in right chest with good right lung
expansion. One of the patient's chest tubes was removed while
the other tube remained on waterseal. His foley catheter was
removed while and his epidural was transitioned to a patient
controlled anesthesia which he tolerated well. During his third
postoperative day the patient worked with physical therapy to
improve his strength and assist with transfers. The patient was
tolerating a regular diet and continued to make steady
improvment. Mr.[**Known lastname 58414**] pain management was again transitioned to
oral medication which he tolerated with only minor issue. On
post op day four the patient's remaining chest tube was removed
from water seal and attached to a drain bag. An additional chest
xray was obtained to assess his right lung expansion and right
intrapleural space. Both lung and intrapleural space appeared
much improved. Overall, the patient was able to walk around
without experiencing shortness of breath. His oxygen saturation
was in the high ninties on room air. The patient was discharged
to home with nursing services on his prior home medications
along with oxycontin and dilaudid for pain. He was the remaining
doses of a 2 week course of levaquin in order to resolve an
residual intrapleural infection. The patient has a follow up
appointment to see Dr. [**Last Name (STitle) **] on [**2145-6-24**].

Discharge Medications:
1. Zolpidem Tartrate 5 mg Tablet Sig: One (1) Tablet PO HS (at
bedtime) as needed.
Disp:*14 Tablet(s)* Refills:*0*
2. Levofloxacin 250 mg Tablet Sig: Three (3) Tablet PO Q24H
(every 24 hours) for 9 days.
Disp:*27 Tablet(s)* Refills:*0*
3. Clindamycin HCl 150 mg Capsule Sig: Three (3) Capsule PO Q6H
(every 6 hours) as needed for anaerobe coverage.
Disp:*9 Capsule(s)* Refills:*0*
4. Hydromorphone HCl 2 mg Tablet Sig: 1-2 Tablets PO Q3-4H () as
needed.
Disp:*50 Tablet(s)* Refills:*0*
5. Oxycodone HCl 10 mg Tablet Sustained Release 12HR Sig: One
(1) Tablet Sustained Release 12HR PO every twelve (12) hours.
Disp:*30 Tablet Sustained Release 12HR(s)* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
VNA Assoc. of [**Hospital3 **]

Discharge Diagnosis:
R empyema


Discharge Condition:
stable

Discharge Instructions:
Please call physician if experiencing fevers/chills,
nausea/chills, shortness of breath/chest pain.

Followup Instructions:
Please follow up w/ Dr. [**Last Name (STitle) **] next week; please call the office
for an appointment.  [**Telephone/Fax (1) 170**].
{'Abscess of lung,Empyema without mention of fistula,Late effects of acute poliomyelitis,Dermatitis due to drugs and medicines taken internally,Other specified disorders of pancreatic internal secretion,Unspecified sleep apnea,Hip joint replacement'}


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: 58 y/o man presents with right empyema.

PRESENT ILLNESS: Mr. [**Known lastname **] is a pleasant 58-year-old gentleman who's illness began

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Gen: NAD
Cardiac: S1S2, no M/R/G
Lungs: Right chest tube in place, course right lung breath
sounds worst at base
ABD: NT, ND, BS+
EXT: No C/C/E
Neuro: AAO X3

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Abscess of lung,Empyema without mention of fistula,Late effects of acute poliomyelitis,Dermatitis due to drugs and medicines taken internally,Other specified disorders of pancreatic internal secretion,Unspecified sleep apnea,Hip joint replacement'}
