Patient presents with symptoms consistent with thoracic outlet syndrome (TOS).  Presenting complaints include [Insert specific patient complaints such as neck pain, shoulder pain, arm pain, numbness, tingling, weakness, or swelling].  Pain characteristics described as [Insert descriptors such as sharp, dull, aching, burning, throbbing, or radiating].  Symptoms are [Insert symptom frequency and duration such as intermittent, constant, worsening, improving, or associated with specific activities].  On physical examination, [Insert relevant physical exam findings such as positive Adson's sign, positive Roos test, diminished pulses, palpable supraclavicular mass, or limited range of motion].  Differential diagnosis includes cervical radiculopathy, brachial plexus neuropathy, peripheral neuropathy, and other causes of upper extremity pain.  Assessment suggests neurogenic thoracic outlet syndrome (NTOS), venous thoracic outlet syndrome (VTOS), or arterial thoracic outlet syndrome (ATOS) based on presenting symptoms and examination findings.  Plan includes [Insert planned diagnostic tests such as chest X-ray, cervical spine X-ray, MRI, CT scan, nerve conduction studies, electromyography, or vascular studies].  Conservative treatment options discussed including physical therapy, occupational therapy, and pain management.  Surgical intervention will be considered if conservative management fails to provide adequate symptom relief.  Patient education provided regarding thoracic outlet syndrome symptoms, causes, diagnosis, and treatment options.  Follow-up appointment scheduled for [Insert date and time of follow-up appointment].  Referral to [Insert specialist referral if applicable such as vascular surgeon, thoracic surgeon, neurologist, or pain specialist].