CHIEF COMPLAINT: 

PRESENT ILLNESS: This 38 year old female at work
developed a left back pain radiating to the anterior chest.
The patient had a history of asthma and the patient took her
inhalers and had some relief of symptoms.  The patient
eventually went to [**Hospital6 1597**] where a chest x-ray
was obtained and found a right lung mass.  The patient stated
she had an episode of bronchitis approximately ten years
prior with wheezing.

MEDICAL HISTORY: Asthma.

MEDICATION ON ADMISSION: Nebulizers and birth control
pills.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Cardiac disease on both sides of the family.

SOCIAL HISTORY: Occasional alcohol and no smoking.
Malignant neoplasm of other parts of bronchus or lung,Iatrogenic pneumothorax,Asthma, unspecified type, unspecified
Mal neo bronch/lung NEC,Iatrogenic pneumothorax,Asthma NOS
Admission Date:  [**2184-12-20**]       Discharge Date:  [**2184-12-29**]

Date of Birth:   [**2147-8-25**]       Sex:  F

Service: THORACIC SURGERY

HISTORY OF PRESENT ILLNESS:  This 38 year old female at work
developed a left back pain radiating to the anterior chest.
The patient had a history of asthma and the patient took her
inhalers and had some relief of symptoms.  The patient
eventually went to [**Hospital6 1597**] where a chest x-ray
was obtained and found a right lung mass.  The patient stated
she had an episode of bronchitis approximately ten years
prior with wheezing.

PAST MEDICAL HISTORY:  Asthma.

MEDICATIONS ON ADMISSION:  Nebulizers and birth control
pills.

ALLERGIES:  No known drug allergies.

SOCIAL HISTORY:  Occasional alcohol and no smoking.

FAMILY HISTORY:  Cardiac disease on both sides of the family.

PHYSICAL EXAMINATION:  The patient had anicteric sclera, in
no apparent distress.  Examination of the lungs revealed
clear to auscultation bilaterally without any wheezing.
Examination of the heart revealed regular rate and rhythm
without any murmurs.  Examination of the abdomen revealed
soft, nontender, nondistended abdomen.  Examination of the
extremities revealed no edema.

HOSPITAL COURSE:  The patient was admitted to the Thoracic
Surgery Service and the patient underwent lobectomy of the
right middle lobe and right lower lobe to remove a central
tumor impinging on the right middle lobe and right lower lobe
bronchus.  The patient did well from the surgery.
Postoperatively the patient was afebrile with stable vital
signs.  The patient's pain was controlled with epidural and
the chest tube was removed on the first day which was done in
error.  The patient was clinically stable but had developed a
hydropneumothorax.  The patient underwent a thoracostomy tube
to replace the chest tube.  The patient underwent that
placement of the chest tube without any difficulties.  The
patient had an epidural for pain.  The patient continued
having the chest tube which had some air leak.  The patient
appears to be out of bed to chair.  The patient's diet was
advanced.

On postoperative day #3, the patient remained afebrile with
stable vital signs.  The patient's pain was continued to be
well controlled and the patient had on x-ray improvement of
the right upper lobe essentially but there was still residual
pneumothorax on the right side.  The patient was continued on
chest tube.  On postoperative day #4 the patient continued to
do well, remained afebrile with stable vital signs.  The
patient's epidural was removed and the patient was put on
PCA.  Another chest x-ray was obtained which showed improved
expansion of the remaining portion of the right lung
following chest tube placement and moderate size of the
pneumothorax.  On postoperative day #5, the patient continued
to do well and remained afebrile with stable vital signs.
The patient continued to have pneumothorax on the chest
x-ray, so the chest tube was still left in place.

The patient had removal of the chest tube on postoperative
day #5 after demonstration of no air leak and a stable x-ray
appearence. The chest tube
was removed subsequently where the patient experienced chest
pain and associated shortness of breath which was resolved.
A follow-up chest x-ray revealed that the patient
had a significantly larger pneumothorax requiring a chest tube
placement.
The patient underwent placement of the chest tube in the
Intensive Care Unit with sedation.  On postoperative day #6,
the patient continued to be afebrile with stable vital signs.
Chest x-ray revealed the patient continued to
hydropneumothorax.  The patient was continued on a chest
tube.

On postoperative day #7, the patient remained afebrile with
stable vital signs.  The patient's chest tube was clamped and
chest x-ray was obtained.  Chest x-ray revealed stable
hydropneumothorax.  The chest tube was removed by Dr. [**Last Name (STitle) 175**],
and the patient was discharged home.

CONDITION ON DISCHARGE:  Stable.

DISCHARGE STATUS:  Home.

DISCHARGE DIAGNOSIS:  Status post right lower lobe and right
middle lobe lobectomy.

MEDICATIONS ON DISCHARGE:
1.  Colace 100 mg p.o. b.i.d.
2.  Percocet 1 to 2 tablets p.o. q. 3 hours prn pain
3.  Kefzol 500 mg p.o. q. 6  hours for seven days

FOLLOW UP PLANS:  The patient will follow up with Dr. [**Last Name (STitle) 175**]
in one day with repeat chest x-ray.

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

Dictated By:[**Last Name (NamePattern1) 3118**]
MEDQUIST36

D:  [**2184-12-30**]  08:47
T:  [**2184-12-30**]  09:02
JOB#:  [**Job Number 52566**]
{'Malignant neoplasm of other parts of bronchus or lung,Iatrogenic pneumothorax,Asthma, unspecified type, unspecified'}


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: This 38 year old female at work
developed a left back pain radiating to the anterior chest.
The patient had a history of asthma and the patient took her
inhalers and had some relief of symptoms.  The patient
eventually went to [**Hospital6 1597**] where a chest x-ray
was obtained and found a right lung mass.  The patient stated
she had an episode of bronchitis approximately ten years
prior with wheezing.

MEDICAL HISTORY: Asthma.

MEDICATION ON ADMISSION: Nebulizers and birth control
pills.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Cardiac disease on both sides of the family.

SOCIAL HISTORY: Occasional alcohol and no smoking. 

### Response:
{'Malignant neoplasm of other parts of bronchus or lung,Iatrogenic pneumothorax,Asthma, unspecified type, unspecified'}
