"There may be some fullness in the left upper quadrant, although I do not appreciate a true spleen with inspiration.,EXTREMITIES:  No clubbing, but there is some edema, but no cyanosis.,NEUROLOGIC:  Noncontributory.,DERMATOLOGIC:  Noncontributory.,CARDIOVASCULAR:  Noncontributory.,IMPRESSION: , At this time is refractory anemia, which is transfusion dependent"
"Wayinza okubaawo okujjula okutonotono mu kitundu kya kkono eky’okungulu, wadde nga sisiima nnywanto entuufu n’okubudaabudibwa.,EXTREMITIES: Tewali clubbing, naye waliwo edema, naye tewali cyanosis.,NEUROLOGIC: Noncontributory.,DERMATOLOGIC: Noncontributory.,CARDIOVASCULAR : Noncontributory.,IMPRESSION: , Mu kiseera kino waliwo refractory anemia, nga kino kyesigamye ku kuteekebwamu omusaayi"