Patient presents with complaints of right shoulder pain consistent with a right shoulder sprain. Onset of pain occurred on [Date of Onset] while [Mechanism of Injury - e.g., lifting a heavy object, falling on an outstretched arm]. Patient reports [Character of Pain - e.g., sharp, dull, aching] pain localized to the [Location of Pain - e.g., anterior, posterior, lateral] aspect of the right shoulder.  Pain is aggravated by [Aggravating Factors - e.g., movement, palpation] and relieved by [Relieving Factors - e.g., rest, ice].  Patient denies any numbness, tingling, or radiating pain.  Physical examination reveals [Objective Findings - e.g., tenderness to palpation over the anterior right shoulder, limited range of motion with abduction and external rotation, no gross deformity].  Strength testing is [Strength Testing Results - e.g., 5/5 throughout the right upper extremity].  No evidence of crepitus or instability noted.  Differential diagnosis includes rotator cuff tear, shoulder impingement syndrome, and clavicle fracture.  Assessment: Right shoulder sprain.  Plan:  Conservative management with RICE (rest, ice, compression, elevation).  Patient advised to avoid strenuous activities involving the right shoulder.  Prescribed NSAIDs for pain management.  Referral for physical therapy will be provided.  Follow-up scheduled in [Duration - e.g., 1-2 weeks] to assess progress. ICD-10 code: [Appropriate ICD-10 code - e.g., S43.401A, S43.409A].