Patient presents with leg swelling (edema), the primary complaint being [right/left/bilateral] lower extremity swelling. Onset of swelling was [sudden/gradual] and began [duration] ago.  Patient describes the swelling as [pitting/non-pitting] and [painful/painless]. Associated symptoms include [list symptoms, e.g., pain, redness, warmth, tenderness to palpation, shortness of breath, chest pain, skin discoloration, ulcers, varicose veins].  Patient denies [list pertinent negatives, e.g., fever, chills, trauma, recent surgery, long-distance travel, immobility].  Medical history includes [list relevant medical history, e.g., deep vein thrombosis, congestive heart failure, venous insufficiency, cellulitis, lymphedema, kidney disease, liver disease, medication use including hormonal therapy].  Physical examination reveals [describe physical findings, e.g.,  edema extending from [location] to [location], skin color [normal/red/cyanotic/pale], skin temperature [warm/cool], palpable pulses [present/absent/diminished], capillary refill [brisk/delayed], presence/absence of tenderness, presence/absence of Homan's sign (if DVT suspected), circumference measurements].  Differential diagnosis includes deep vein thrombosis, venous insufficiency, congestive heart failure, cellulitis, lymphedema, lipedema, medication side effect.  Preliminary diagnosis is [diagnosis].  Plan includes [list planned tests and treatments, e.g., venous Doppler ultrasound, D-dimer test, echocardiogram, compression therapy, elevation of extremity, medication adjustment, referral to specialist (vascular surgeon, cardiologist)].  Patient education provided regarding leg swelling causes, treatment options, and preventative measures including risk factors for venous thromboembolism.  Follow-up appointment scheduled for [date].