"Patient presents today with a two week history of dry cough and evening fever. On examination, mild chest tightness noted with SpO2 at 96 percent on room air. Recommending a chest X-ray to rule out community-acquired pneumonia. Will start empirical antibiotics pending imaging results and review in 3 days."

Assessment

Suspected community-acquired pneumonia, pending chest X-ray confirmation.

Plan

Order chest X-ray, start empirical antibiotic therapy, follow-up in 3 days.