I think stratus clouds indicate possible precipitation
The disorder that he might be at risk of experiencing schizophrenia. This is a mental disorder which usually appears in late adolescence or early adulthood. Normally characterized by hallucinations, delusions, and other cognitive difficulties. This condition affects how a person thinks, feels and behaves, although not common as compared to other disorders it can be very disabling and a lifelong struggle.
This is a case of a patient with right sided thoracic myofascial (involving the muscles and the overlying fascia) pain involving 3 muscle groups that was injected with a local anesthetic (Bupivacaine) which are rhomboid major, rhomboid minor, and levator scapular muscles. The CPT code involving trigger point injections of 3 or more muscle groups is CPT 20553.