CHIEF COMPLAINT: 

PRESENT ILLNESS: Briefly, this is a 66 year-old
female who presented with hemoptysis.  Chest x-ray showed a
mass.  The patient was taken to the Operating Room for a
presumption of lung cancer.  She had diagnosed T4N0 stage 3B
lung cancer in the right upper lobe involving the main stem
bronchus.  She had coughing with shortness of breath,
nonspecific chest pain, one episode of hemoptysis.

MEDICAL HISTORY: Significant for coronary artery
disease status post coronary artery bypass graft in [**2187**],
chronic obstructive pulmonary disease, emphysema and non
Hodgkin's lymphoma in [**2186**].

MEDICATION ON ADMISSION: Aspirin 81 mg q.d., Tagamet,
Lopresor, Synthroid, Ambien, Norvasc, Lipitor and Neurontin.

ALLERGIES: Taxol.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Malignant neoplasm of upper lobe, bronchus or lung,Cardiac complications, not elsewhere classified,Atrial fibrillation,Other emphysema,Anemia, unspecified,Pleurisy without mention of effusion or current tuberculosis,Aortocoronary bypass status,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation
Mal neo upper lobe lung,Surg compl-heart,Atrial fibrillation,Emphysema NEC,Anemia NOS,Pleurisy w/o effus or TB,Aortocoronary bypass,Abn react-surg proc NEC
Admission Date:  [**2197-7-10**]     Discharge Date:  [**2197-7-18**]

Date of Birth:   [**2131-4-2**]     Sex:  F

Service:

HISTORY OF PRESENT ILLNESS:  Briefly, this is a 66 year-old
female who presented with hemoptysis.  Chest x-ray showed a
mass.  The patient was taken to the Operating Room for a
presumption of lung cancer.  She had diagnosed T4N0 stage 3B
lung cancer in the right upper lobe involving the main stem
bronchus.  She had coughing with shortness of breath,
nonspecific chest pain, one episode of hemoptysis.

PAST MEDICAL HISTORY:  Significant for coronary artery
disease status post coronary artery bypass graft in [**2187**],
chronic obstructive pulmonary disease, emphysema and non
Hodgkin's lymphoma in [**2186**].

PAST SURGICAL HISTORY:  Gastrectomy, coronary artery bypass
graft, Port-A-Cath insertion, which has been removed, tubal
ligation.

MEDICATIONS ON ADMISSION:  Aspirin 81 mg q.d., Tagamet,
Lopresor, Synthroid, Ambien, Norvasc, Lipitor and Neurontin.

ALLERGIES:  Taxol.

PHYSICAL EXAMINATION:  The patient is afebrile and vital
signs are stable.  96% on room air.  Her lungs were clear to
auscultation bilaterally.  Heart was regular rate and rhythm
with no murmurs, rubs or gallops.  Abdomen soft, nontender,
nondistended with normal bowel sounds.  Well healed scars
both midline and lower abdomen.  Extremities were warm and
well perfuse with no clubbing, cyanosis or edema.

HOSPITAL COURSE:  The patient was taken to the Operating Room
where a right upper lobe and middle lobe resection was
performed.  The patient was transferred to the Intensive Care
Unit postoperatively and she did well.  The patient was
extubated and continued to do well.  She was transferred to
the floor where she continued to improve.  Her diet was
advanced.  Her Foley was removed.  The patient was seen by
physical therapy, which continued to work with her.  She had
difficulty clearing secretions and was often unable to do
deep breathing, which required a lot of motivation, however,
the patient continued to improve and slowly started to begin
ambulating.  The patient was seen also by medicine for
hypertension and was started on Amiodarone.  The patient
continued to improve and on [**2197-7-18**] is discharged home in
stable condition with plans to have home physical therapy to
continue aggressive pulmonary toilet and to improve
ambulation.

DISCHARGE CONDITION:  Stable.

DISCHARGE MEDICATIONS:  Vicodin for pain.  Lopressor 25
b.i.d., Combivent, Albuterol, Amiodarone 400 mg q.d.,
Synthroid, Flovent, Zantac.

The patient is instructed to follow up with her primary care
physician in one to two weeks.






                          [**First Name11 (Name Pattern1) 177**] [**Last Name (NamePattern4) 178**], M.D.  [**MD Number(1) 179**]

Dictated By:[**First Name (STitle) **]

MEDQUIST36

D:  [**2197-7-18**]  10:58
T:  [**2197-7-24**]  06:44
JOB#:  [**Job Number 25123**]
{'Malignant neoplasm of upper lobe, bronchus or lung,Cardiac complications, not elsewhere classified,Atrial fibrillation,Other emphysema,Anemia, unspecified,Pleurisy without mention of effusion or current tuberculosis,Aortocoronary bypass status,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}


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: 

PRESENT ILLNESS: Briefly, this is a 66 year-old
female who presented with hemoptysis.  Chest x-ray showed a
mass.  The patient was taken to the Operating Room for a
presumption of lung cancer.  She had diagnosed T4N0 stage 3B
lung cancer in the right upper lobe involving the main stem
bronchus.  She had coughing with shortness of breath,
nonspecific chest pain, one episode of hemoptysis.

MEDICAL HISTORY: Significant for coronary artery
disease status post coronary artery bypass graft in [**2187**],
chronic obstructive pulmonary disease, emphysema and non
Hodgkin's lymphoma in [**2186**].

MEDICATION ON ADMISSION: Aspirin 81 mg q.d., Tagamet,
Lopresor, Synthroid, Ambien, Norvasc, Lipitor and Neurontin.

ALLERGIES: Taxol.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Malignant neoplasm of upper lobe, bronchus or lung,Cardiac complications, not elsewhere classified,Atrial fibrillation,Other emphysema,Anemia, unspecified,Pleurisy without mention of effusion or current tuberculosis,Aortocoronary bypass status,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}
