Patient presents with signs and symptoms consistent with right lower leg cellulitis.  The patient reports pain, erythema, swelling, and warmth in the affected area.  Onset of symptoms began approximately [number] days ago.  The patient denies any history of fever, chills, or systemic symptoms.  The right lower leg skin exhibits localized erythema, edema, and tenderness to palpation.  No fluctuance, crepitus, or lymphangitis noted.  Peripheral pulses are palpable and strong.  The patient's medical history includes [relevant medical history, e.g., diabetes, peripheral vascular disease].  Current medications include [list medications].  Allergies include [list allergies].  Assessment: Right lower leg cellulitis.  Differential diagnosis includes deep vein thrombosis, contact dermatitis, and insect bite reaction.  Plan: Prescribed oral antibiotics [antibiotic name and dosage].  Patient educated on signs and symptoms of worsening infection, including spreading redness, increased pain, fever, or chills, and instructed to return for follow-up evaluation in [number] days.  Wound care instructions provided, emphasizing elevation and local hygiene.  ICD-10 code L03.115, Right lower leg cellulitis, is documented for medical billing and coding purposes.  Patient advised to monitor for improvement and return if symptoms worsen or do not improve within [number] days.  Patient verbalized understanding of the treatment plan.