Patient presents with symptoms suggestive of pulmonary congestion, including dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.  Physical examination reveals bibasilar crackles, jugular venous distension, and possible peripheral edema.  The patient reports a history of [insert underlying condition, e.g., congestive heart failure, mitral valve stenosis, chronic kidney disease].  Differential diagnosis includes acute decompensated heart failure, fluid overload, pulmonary edema, and pneumonia.  Chest X-ray demonstrates [describe findings, e.g., interstitial edema, Kerley B lines, pleural effusion].  Electrocardiogram shows [describe findings, e.g., sinus tachycardia, left ventricular hypertrophy].  Laboratory results including BNP and electrolytes are pending.  Assessment: Pulmonary congestion likely secondary to [state suspected cause, e.g., exacerbation of CHF]. Plan:  Oxygen therapy initiated.  Diuretic therapy with [name of diuretic] prescribed to manage fluid overload.  Patient will be monitored for response to treatment and further diagnostic testing, including echocardiography, may be considered to evaluate cardiac function.  Patient education provided regarding fluid restriction and medication compliance.  Follow-up scheduled in [timeframe].  ICD-10 code J81.1 (Pulmonary edema) considered pending further diagnostic evaluation.