Lobectomy

Record :

This gentlemen has a RR 16/min. There is clubbing noted without evidence of CO2 retention. There is no nicotine staining. There is no pallor, jaundice or cyanosis. JVP is not elevated. Trachea is central and apex beat is not displaced. There is no pedal edema of legs.
There is a left thoracotomy scar noted. There is reduced chest movement of left lower zone with reduced tactile fremitus and vocal resonance. There is also dullness on percussion on the same area.
My diagnosis is that this patient has left lobectomy probably due to a mitotic lung lesion and is not tachypnoeic.