Patient presents with left side hemiparesis, characterized by left-sided weakness.  Onset of hemiparesis was noted on [Date of onset], with [gradual/sudden] progression.  Patient reports [Specific functional limitations, e.g., difficulty gripping objects with left hand, dragging left foot while walking, facial droop on left side].  Neurological examination reveals decreased muscle strength in the left upper and lower extremities, graded as [Muscle strength grading, e.g., 4/5 in left arm, 3/5 in left leg].  Deep tendon reflexes are [Increased/decreased/normal] on the left side compared to the right.  Patient exhibits [Positive/negative] Babinski sign on the left.  Sensory examination reveals [Intact/diminished/absent] sensation to light touch and pinprick in the affected limbs.  Differential diagnosis includes cerebrovascular accident (CVA), transient ischemic attack (TIA), brain tumor, and multiple sclerosis.  Initial workup includes [List ordered tests, e.g., CT scan of the brain without contrast, MRI brain with and without contrast, complete blood count (CBC), comprehensive metabolic panel (CMP), coagulation studies].  Preliminary impression is left-sided hemiparesis likely secondary to [Suspected etiology, e.g., ischemic stroke].  Patient education provided on stroke symptoms, risk factors, and importance of adherence to treatment plan.  Plan to admit patient for further neurological evaluation, including [Planned interventions, e.g., stroke rehabilitation, physical therapy, occupational therapy, speech therapy].  Further investigations pending imaging and laboratory results.  ICD-10 code: [Appropriate ICD-10 code, e.g., I69.352A].  CPT codes for evaluation and management services will be determined based on complexity of visit.  Follow-up scheduled with neurology in [Timeframe].