Patient presents with right-sided hemiplegia, characterized by significant weakness and loss of motor function affecting the right side of the body.  Onset of hemiplegia was noted on [Date of onset], following [Event precipitating hemiplegia, e.g., cerebrovascular accident, stroke, traumatic brain injury].  Symptoms include decreased muscle strength, impaired mobility, and reduced functional capacity in the right arm and leg.  Neurological examination reveals [Specific neurological findings, e.g., hyperreflexia, spasticity, positive Babinski sign on the right side].  Differential diagnosis includes stroke, cerebral palsy, brain tumor, and multiple sclerosis.  Initial assessment suggests [Leading suspected diagnosis and rationale].  Brain imaging, including [Type of imaging, e.g., CT scan, MRI], was ordered to further evaluate the etiology of the hemiplegia and rule out other potential causes.  Preliminary imaging results indicate [Imaging findings].  The patient's current functional status is assessed as [Functional level, e.g., requiring assistance with activities of daily living].  Treatment plan includes physical therapy, occupational therapy, and speech therapy as indicated.  Medications prescribed include [Medications and dosage, e.g., antispasmodics, pain management].  Patient education provided on stroke rehabilitation, fall prevention, and management of hemiplegia-related complications.  Follow-up appointment scheduled for [Date] to reassess neurological status, monitor treatment progress, and adjust the care plan as needed.  ICD-10 code [Appropriate ICD-10 code, e.g., I69.320 for right hemiplegia affecting the dominant side] and CPT codes for evaluation and management, physical therapy, occupational therapy, and other services will be documented accordingly.