Donald Trump’s latest medical evaluation, conducted at Walter Reed hospital in Bethesda, Maryland, has officially confirmed him to be in “excellent” physical and cognitive health, according to the White House. The visit marked his first annual checkup since beginning his second presidential term, and while the results prompted praise from his supporters and medical professionals, they also sparked considerable public skepticism.

Physicians reported that Trump’s heart, lungs, neurological function, and general fitness all checked out well. Notably, the president scored perfectly on the Montreal Cognitive Assessment, a common test used to detect early cognitive issues like dementia. There were no signs of anxiety or depression, and a comprehensive neurological evaluation found no abnormalities.

One lingering reminder from last year’s assassination attempt—a scar behind his right ear caused by a gunshot wound—was acknowledged in the report. Otherwise, Trump’s head, ears, nose, throat, and hearing were found to be normal. The evaluation also listed several ongoing but controlled conditions, including high cholesterol, rosacea, and a previous Covid-19 infection. A benign colon polyp was mentioned as well.