,BRIEF H&P AND HOSPITAL COURSE: , This patient is a 56-year-old male, a patient of Dr. X with 25-pack-year history, also a history of diabetes type 2, dyslipidemia, hypertension, hemorrhoids, chronic obstructive pulmonary disease, and a left lower lobe calcified granuloma that apparently is stable at this time. 
,BRIEF H&P AND HOSPITAL COURSE : , This patient is a 56 - year - old male , a patient of Dr. X with 25 - pack - year history , also a history of diabetes type 2 , dyslipidemia , hypertension , hemorrhoids , chronic obstructive pulmonary disease , and a left lower lobe calcified granuloma that apparently is stable at this time .