Donald Trump’s physician says the US president is in “excellent health” and “fully fit” to serve as commander in chief after a medical examination at Walter Reed National Military Medical Center earlier this week. Multiple outlets report that a letter or memo from the physician, Dr. Sean Barbabella, is released by the White House and describes the results as strongly positive.

The reporting agrees that the evaluation includes heart-related imaging, such as a CT scan and additional heart imaging, along with cancer screenings and other preventative assessments performed by a large team of specialists. The president is also described as having had normal neurological and heart test results. In addition, outlet accounts state that Trump’s doctors provide guidance on diet, physical activity, and weight loss.

Sources also note that the visit is part of a pattern of publicly disclosed checkups since his return to office for a second term, with several outlets describing it as a six-month physical and one identifying it as the fourth publicly disclosed medical exam during that period. The president’s physician concludes that Trump’s cognitive and physical performance are excellent.