Patient presents with symptoms consistent with pneumonia right lower lobe.  Presenting complaints include productive cough with yellow-green sputum, fever, chills, shortness of breath, and right-sided pleuritic chest pain.  On physical examination, the patient exhibits decreased breath sounds and dullness to percussion over the right lower lung field.  Crackles and rhonchi are also auscultated in the right lower lobe.  The patient reports recent onset of symptoms, approximately one week in duration.  Vital signs reveal an elevated temperature of 101.5 degrees Fahrenheit, heart rate of 110 beats per minute, respiratory rate of 24 breaths per minute, and oxygen saturation of 92% on room air.  Based on clinical presentation and physical exam findings, the diagnosis of right lower lobe pneumonia is suspected.  Differential diagnoses include bronchitis, bronchiolitis, and right lower lobe infiltrate.  Chest X-ray ordered to confirm the diagnosis and assess the extent of pulmonary involvement.  Treatment plan includes antibiotic therapy with azithromycin, prescribed as 500mg on day one followed by 250mg daily for five days.  Patient education provided regarding medication administration, hydration, rest, and follow-up care.  The patient is instructed to return for reevaluation in one week or sooner if symptoms worsen.  ICD-10 code J18.1, Pneumonia, organism unspecified, right lower lobe, is documented.  CPT codes for evaluation and management services, as well as chest X-ray, will be determined based on the complexity of the visit.  Patient advised to monitor for signs and symptoms of respiratory distress and to seek immediate medical attention if necessary.