President Donald Trump underwent his second annual physical examination of his current term on Wednesday after being diagnosed with a vein condition this summer.

The White House has not provided the results of Trump’s examination at Walter Reed National Military Medical Center, but is expected to do so in the coming days.

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After undergoing his first examination in April, Trump, 79, described the appointment as a “semi-annual physical” and said that he was in “great shape.”

“Knock on wood. Mentally, I feel very good. I like to check, always be early. It’s a lesson for a lot of people. But I also did a cognitive exam. And I had a perfect score. One of the doctors said he’s never seen a perfect score,” he said Thursday in the Oval Office.

Trump’s physician, Capt. Sean Barbabella wrote in April that after conducting a comprehensive diagnostic, laboratory testing, consultations with 14 specialty consultants, the president demonstrated no abnormalities aside from minor sun damage, recommending a colonoscopy in 2027.

“President Trump exhibits excellent cognitive and physical health and is fully fit to execute the duties of the Commander-in-Chief and Head of State,” Barbabella wrote at the time.

But in July, White House press secretary Karoline Leavitt told reporters that Trump had been diagnosed with a “benign and common” vein condition known as chronic venous insufficiency after experiencing swelling in his legs. Reading a separate memo from Barbabella, Leavitt said Trump had no symptoms of deep vein thrombosis or arterial disease.

Of bruising that has become evident on Trump’s hand, Barbabella wrote: “This is consistent with minor soft tissue irritation from frequent handshaking and the use of aspirin, which is taken as part of a standard cardiovascular prevention regimen.”

Leavitt similarly announced Trump’s travel to the medical facility on Wednesday, telling reporters the president would attend “a planned meeting” and speak with troops. The White House has not provided a readout of his meeting or remarks.

“While there, President Trump will stop by for his routine yearly check up,” Leavitt wrote. “He will then return to the White House. President Trump is considering going to the Middle East shortly thereafter.”

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