CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 42 year-old male with
a past medical history significant for a C8 radiculopathy who
presented with subacute right flank pain.  He underwent CT
scan [**7-29**], which demonstrated a 5 by 23 cm low density
mass in the right hepatic lobe.  Repeat ultrasound [**7-31**]
confirmed that this was a cystic structure.  He then
underwent ultrasound guided aspiration of this liver cystic
fluid, which had about 4.5 liters of brownish fluid with a
culture positive for coag negative staph.  The cavity
appeared to be fibrotic with some septations with possible
risk of malignancy.  The patient as a result was scheduled
for elective fenestration of the cyst by laparoscopy.

MEDICAL HISTORY: Degenerative disease of the cervical
spine, compression of the left C8 root, mild stenosis of
C6-C7.  Hepatitic cyst.  Status post appendectomy.  Status
post tonsillectomy.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient is a financial vice president.
Occasional alcohol.  No tobacco.  No intravenous drug use.
Other specified disorders of liver,Accidental puncture or laceration during a procedure, not elsewhere classified
Liver disorders NEC,Accidental op laceration
Name:  [**Known lastname 5984**], [**Known firstname **]                       Unit No:  [**Numeric Identifier 5985**]

Admission Date:  [**2143-8-7**]     Discharge Date:  [**2143-8-12**]

Date of Birth:   [**2100-8-8**]     Sex:  M

Service:

ADDENDUM:  Mr. [**Known lastname **] continued to progress well, however, on
postoperative day #3 complained of significant fatigue,
weakness and he, in addition, continued to have significant
JP drain output in the 200's.  Postoperative day #4 the
patient also continued to complain of crampy lower abdominal
pain.  He was given a Dulcolax suppository with some relief.
He was, however, able to tolerate a regular diet without
nausea and vomiting.  Postoperative day #5 the patient
continued passing flatus and was much more comfortable and
able to care for himself at home.  His JP drain output
continued to be in the 200's, 290 on the day prior to
discharge.  Hematocrit was checked on the JP drainage output
which was 2 and additional serum hematocrit was checked which
was 28.2.  He, throughout, remained hemodynamically stable
and afebrile and was deemed stable for discharge home on
postoperative day #5.

CONDITION ON DISCHARGE:  Good.

DISCHARGE STATUS:  The patient will be discharged to home
with his JP drain in place after having received JP drain
teaching.  He will be discharged without services.

DISCHARGE INSTRUCTIONS:  The patient is to follow-up with Dr.
[**Last Name (STitle) **] for wound check and drain removal in one week.




                          [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 206**], M.D.  [**MD Number(1) 207**]

Dictated By:[**Last Name (NamePattern1) 5986**]

MEDQUIST36

D:  [**2143-8-12**]  13:38
T:  [**2143-8-16**]  09:45
JOB#:  [**Job Number 5987**]


Admission Date:  [**2143-8-7**]     Discharge Date:  [**2143-8-12**]

Date of Birth:   [**2100-8-8**]     Sex:  M

Service:  PURPLE GENERAL SURGERY

HISTORY OF PRESENT ILLNESS:  This is a 42 year-old male with
a past medical history significant for a C8 radiculopathy who
presented with subacute right flank pain.  He underwent CT
scan [**7-29**], which demonstrated a 5 by 23 cm low density
mass in the right hepatic lobe.  Repeat ultrasound [**7-31**]
confirmed that this was a cystic structure.  He then
underwent ultrasound guided aspiration of this liver cystic
fluid, which had about 4.5 liters of brownish fluid with a
culture positive for coag negative staph.  The cavity
appeared to be fibrotic with some septations with possible
risk of malignancy.  The patient as a result was scheduled
for elective fenestration of the cyst by laparoscopy.

PAST MEDICAL HISTORY:  Degenerative disease of the cervical
spine, compression of the left C8 root, mild stenosis of
C6-C7.  Hepatitic cyst.  Status post appendectomy.  Status
post tonsillectomy.

MEDICATIONS:  None.

ALLERGIES:  No known drug allergies.

SOCIAL HISTORY:  The patient is a financial vice president.
Occasional alcohol.  No tobacco.  No intravenous drug use.

HOSPITAL COURSE:  The patient was admitted to the hospital on
[**2143-8-7**].  He underwent laparoscopic fenestration of
hepatic cyst, which had to be converted to an open procedure
due to bleeding.  The patient had tolerated the procedure
well and the only complication was of vein evulsion off the
ICC.  Please see the operative note dated [**2143-8-7**] for
full details of this procedure.  Intraoperatively the patient
received 7 liters of crystalloid and a unit of packed cells.
Estimated blood loss was approximately a liter.  He was
transferred to the Intensive Care Unit for serial abdominal
examinations and serial hematocrits and telemetry.
Intraoperatively the patient's hematocrit decreased from a
preoperative value of 40 to 25.  He received 1 unit of packed
red blood cells.  Postoperatively, the patient's hematocrit
was 34 and remained stable with a hematocrit prior to
discharge of 32.  The patient was hemodynamically stable
throughout the entire time of his admission.  He had
abdominal pain initially, which was controlled with a
morphine PCA.  He had [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 1661**] [**Last Name (NamePattern1) 1662**] drain placed
intraoperatively with an output of over 100 cc per day of
serosanguinous fluid.  His drain continued to put out copious
amounts and there was concern about being able to actually
discontinued the bulb suction drain.  At the time of
dictation that decision has not been made.

The rest of his postoperative course is otherwise
unremarkable.  He is stable to tolerate a regular diet and
ambulate without difficulty.  He remained hemodynamically
stable.

CONDITION ON DISCHARGE:  Stable.

DISCHARGE STATUS:  The patient will be discharged to home.

DISCHARGE MEDICATIONS:  1.  Percocet one to two po q 4 to 6
hours prn.

DISCHARGE DIAGNOSES:
1.  Status post open fenestration of a hepatic cyst.
2.  Status post IVC repair.

INSTRUCTIONS:  The patient is to follow up with Dr. [**Last Name (STitle) **]
one week from the day of discharge.  Further instructions
regarding the patient's drain will be provided to the patient
upon discharge.






                          [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 6066**]

Dictated By:[**Last Name (NamePattern1) 2682**]

MEDQUIST36

D:  [**2143-8-10**]  04:53
T:  [**2143-8-12**]  10:49
JOB#:  [**Job Number 34102**]
{'Other specified disorders of liver,Accidental puncture or laceration during a procedure, not elsewhere classified'}


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 is a 42 year-old male with
a past medical history significant for a C8 radiculopathy who
presented with subacute right flank pain.  He underwent CT
scan [**7-29**], which demonstrated a 5 by 23 cm low density
mass in the right hepatic lobe.  Repeat ultrasound [**7-31**]
confirmed that this was a cystic structure.  He then
underwent ultrasound guided aspiration of this liver cystic
fluid, which had about 4.5 liters of brownish fluid with a
culture positive for coag negative staph.  The cavity
appeared to be fibrotic with some septations with possible
risk of malignancy.  The patient as a result was scheduled
for elective fenestration of the cyst by laparoscopy.

MEDICAL HISTORY: Degenerative disease of the cervical
spine, compression of the left C8 root, mild stenosis of
C6-C7.  Hepatitic cyst.  Status post appendectomy.  Status
post tonsillectomy.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient is a financial vice president.
Occasional alcohol.  No tobacco.  No intravenous drug use. 

### Response:
{'Other specified disorders of liver,Accidental puncture or laceration during a procedure, not elsewhere classified'}
