Mrs V came for screening test.Percussion

Resonance dominate over lung fields bilaterally upon percussion.Palpation

Symmetric chest expansion bilaterally with mild increased fremitus on the right side but anteriorly fremitus symmetric bilaterally.No lumps, masses or tenderness noted upon palpation of chest wall.Auscultation

Anterior and posterior bronchovesicular and vesicular breath sounds equal.Lips and nailbeds pink, free of pallor and cyanosis consistent with genetic background.Diaphragmatic excursion 5cm bilaterally and parallel.She had chest radiography in but was normal and Inspection

Mrs V atraumatic in appearance.Thorax cage symmetric with no deformity.Lateral left and right sides has clear sounds bilaterally upon auscultation.She has had occasional cold/flu 5 years ago but was subsided.She completed all activities without change in breathing.No cough, shortness of breath, wheezing, chest pain with breathing.She has never exposed to fumes or irritants.No use of accessory muscles.No lesions on skin noted.Position relaxed and upright with arms at sides.No family history of respiratory disease.No history of allergy to any kind.She has never smoked.She lives and works in smoke- free environments.Never has TB skin test.She is well alert and oriented.