CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 78 year old
gentleman with a history of nonsmall lung cancer, diagnosed
in [**2151**], status post left main stem bronchus stent placement
in [**2160**], which was subsequently removed after the stent was
displaced.  The patient was admitted recently for a complaint
of shortness of breath.  There was a plan for a new stent
placement on [**2163-11-29**], however, the device did not
fit correctly and the patient had to have a custom made
Y-stent.  Therefore, the patient was readmitted on [**2163-12-28**] for placement of a Y-stent in his main stem bronchus
bilaterally.

MEDICAL HISTORY: 1.  Nonsmall cell lung cancer, diagnosed in [**2151**], status post
left main stem bronchus stent placement, status post
radiation therapy, status post Taxol and carboplatin times
six months, status post Navelbine and carboplatin times 12
months in [**2160**].
2.  History of colon cancer in [**2158**], status post resection
with positive lymph nodes, recurrent in [**2163**], status post
laser treatment.
3.  History of pericardial effusions in [**2161**], status post
pericardial window.
4.  Gastroesophageal reflux disease.
5.  Benign prostatic hypertrophy, status post transurethral
resection of prostate.
6.  Appendectomy.
7.  Hernia repair.

MEDICATION ON ADMISSION: Combivent meter dose inhaler one
to two puffs q.6h.p.r.n., Proscar 5 mg p.o.q.d., Prevacid 30
mg p.o.q.d.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Malignant neoplasm of other parts of bronchus or lung,Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes,Personal history of malignant neoplasm of large intestine,Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS),Esophageal reflux,Other iatrogenic hypotension
Mal neo bronch/lung NEC,Mal neo lymph intra-abd,Hx of colonic malignancy,BPH w/o urinary obs/LUTS,Esophageal reflux,Iatrogenc hypotnsion NEC
Admission Date:  [**2163-12-28**]     Discharge Date:  [**2163-12-30**]

Date of Birth:   [**2085-4-11**]     Sex:  M

Service:  Medicine

HISTORY OF PRESENT ILLNESS:  The patient is a 78 year old
gentleman with a history of nonsmall lung cancer, diagnosed
in [**2151**], status post left main stem bronchus stent placement
in [**2160**], which was subsequently removed after the stent was
displaced.  The patient was admitted recently for a complaint
of shortness of breath.  There was a plan for a new stent
placement on [**2163-11-29**], however, the device did not
fit correctly and the patient had to have a custom made
Y-stent.  Therefore, the patient was readmitted on [**2163-12-28**] for placement of a Y-stent in his main stem bronchus
bilaterally.

PAST MEDICAL HISTORY:
1.  Nonsmall cell lung cancer, diagnosed in [**2151**], status post
left main stem bronchus stent placement, status post
radiation therapy, status post Taxol and carboplatin times
six months, status post Navelbine and carboplatin times 12
months in [**2160**].
2.  History of colon cancer in [**2158**], status post resection
with positive lymph nodes, recurrent in [**2163**], status post
laser treatment.
3.  History of pericardial effusions in [**2161**], status post
pericardial window.
4.  Gastroesophageal reflux disease.
5.  Benign prostatic hypertrophy, status post transurethral
resection of prostate.
6.  Appendectomy.
7.  Hernia repair.

MEDICATIONS ON ADMISSION:  Combivent meter dose inhaler one
to two puffs q.6h.p.r.n., Proscar 5 mg p.o.q.d., Prevacid 30
mg p.o.q.d.

PHYSICAL EXAMINATION:  Physical examination on admission was
not noted in the chart, however, on physical examination on
transfer, the patient had a temperature of 100.1, heart rate
75, blood pressure 110/60, respiratory rate 24 and oxygen
saturation 94%.  General:  Alert and oriented times three,
sitting in a chair, conversant without shortness of breath.
Cardiovascular:  Regular rate and rhythm, normal S1 and S2,
no murmur, rub or gallop, no elevated jugular venous
pressure.  Respiratory:  Coarse breath sounds, port in place
over anterior chest wall, no erythema or tenderness over
port.  Abdomen:  Soft, nontender, nondistended, positive
bowel sounds, no hepatosplenomegaly.  Extremities:  Thin,
warm without edema, no splinting of nails, no clubbing or
cyanosis.

LABORATORY DATA:  Admission laboratory testing was within
normal limits.

HOSPITAL COURSE:  1.  Pulmonary:  The patient had Y-stents
placed bilaterally in his main stem bronchus.  The patient
tolerated the procedure well and was doing well
postoperatively.  The patient was extubated on the day
following the procedure.  The patient did well throughout
that day, ambulating without shortness of breath.  The
patient maintained oxygen saturations of 94% to 96% in room
air.  The patient was regularly using his incentive
spirometer.  During the procedure, the patient had a
respiratory broncho-alveolar lavage, which was negative for
organisms.  Therefore, antibiotics were discontinued post
procedure.

2.  Fluids, electrolytes and nutrition:  The patient was
advanced from clear liquids to a house diet during the
postoperative day.  The patient was tolerating food well and
drinking Boost supplements.

CONDITION ON DISCHARGE:  Stable.

DISCHARGE STATUS:  To home.

DISCHARGE MEDICATIONS:
Combivent meter dose inhaler one to two puffs q.6h.p.r.n.
shortness of breath or wheezing.
Proscar 5 mg p.o.q.d.
Prevacid 30 mg p.o.q.d.

FINAL DIAGNOSES:
1.  Nonsmall cell lung cancer.
2.  Status post bilateral bronchus Y-stent placement.

RECOMMENDED FOLLOW-UP:  The patient was to call Dr. [**Last Name (STitle) **]
[**Name (STitle) 24787**] in one week for follow-up.  He was also to follow up
with his pulmonologist in [**State 108**].  In addition, the patient
may return to [**Location (un) 86**] in two months for a follow-up visit with
Dr. [**Last Name (STitle) **], however, the patient will discuss this with his
pulmonologist in [**State 108**], with Dr. [**Last Name (STitle) **] and with Dr. [**Last Name (STitle) 24787**]
for final arrangements for follow-up in [**Location (un) 86**].



                          [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **], M.D.  [**MD Number(1) 4561**]

Dictated By:[**Name8 (MD) 3482**]

MEDQUIST36

D:  [**2163-12-30**]  05:54
T:  [**2163-12-31**]  18:05
JOB#:  [**Job Number 44261**]
{'Malignant neoplasm of other parts of bronchus or lung,Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes,Personal history of malignant neoplasm of large intestine,Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS),Esophageal reflux,Other iatrogenic hypotension'}


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: The patient is a 78 year old
gentleman with a history of nonsmall lung cancer, diagnosed
in [**2151**], status post left main stem bronchus stent placement
in [**2160**], which was subsequently removed after the stent was
displaced.  The patient was admitted recently for a complaint
of shortness of breath.  There was a plan for a new stent
placement on [**2163-11-29**], however, the device did not
fit correctly and the patient had to have a custom made
Y-stent.  Therefore, the patient was readmitted on [**2163-12-28**] for placement of a Y-stent in his main stem bronchus
bilaterally.

MEDICAL HISTORY: 1.  Nonsmall cell lung cancer, diagnosed in [**2151**], status post
left main stem bronchus stent placement, status post
radiation therapy, status post Taxol and carboplatin times
six months, status post Navelbine and carboplatin times 12
months in [**2160**].
2.  History of colon cancer in [**2158**], status post resection
with positive lymph nodes, recurrent in [**2163**], status post
laser treatment.
3.  History of pericardial effusions in [**2161**], status post
pericardial window.
4.  Gastroesophageal reflux disease.
5.  Benign prostatic hypertrophy, status post transurethral
resection of prostate.
6.  Appendectomy.
7.  Hernia repair.

MEDICATION ON ADMISSION: Combivent meter dose inhaler one
to two puffs q.6h.p.r.n., Proscar 5 mg p.o.q.d., Prevacid 30
mg p.o.q.d.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Malignant neoplasm of other parts of bronchus or lung,Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes,Personal history of malignant neoplasm of large intestine,Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS),Esophageal reflux,Other iatrogenic hypotension'}
