Problem:
Oncology Center Diagnosis: MS. F is a 68-year-old female with a diagnosis of recurrent, poorly differentiated, papillary carcinoma of the thyroid gland, initial stage unclear. The patient completed 3,000 cGy in 10 treatments five months ago with significant improvement, due to the patient's condition and performance status, split-course radiotherapy was offered. The patient will continue to be treated with chemotherapy. PHYSICAL EXAMINATION: Reveals an eight pound weight loss in the past two months. HEENT is unremarkable. Examination of the neck revealed the neck mass to have significantly decreased in size. However, it is hard and fixed. Her lungs are clear to auscultation. Cardiac exam reveals a regular rate and rhythm. Cranial nerves II-XII are grossly intact. The patient's Karnofsky performance status is approximately 70. Assessment: The patient developed lung metastasis. I do not think that radiotherapy would be beneficial for this patient at this time. I advised her that she will need to continue with her care with Dr. X, who plans to offer chemotherapy. Electronically signed by X, MD What diagnosis codes are reported?