text_1: 除了 显得 嗜睡 , 有 右前 胸壁 轻微 压痛 及 扑翼样 震颤 之外 , 患者 的 检查 结果 与 之前 的 门诊 检查 结果 无 变化 .
  
text_2: his examination was unchanged from his previous outpatient visit except that he appeared lethargic , had mild tenderness over the right anterior chest wall , and had asterixis .
  