Patient Note — 242494

4/13/26, 7:29 AM Print Preview [PATIENT_NAME] DOB: [DOB] (77 yo M) Acc No. [ACCOUNT_ID] DOS: 01/14/2026 [PATIENT_NAME] 77 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: UHC MEDICARE PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge 01/14/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. 3 MONTH LAB REV History of Present Illness Elevated PSA/Screening: 77yM patient with history of elevated PSA previously referred by Dr. Kevin Choe presents here today for a 3 month follow up with lab review. PSA: <0.1 (January 2026) TESTO: < 3 (January 2026) ******************************** He says that urine leaking is not an issue for him at this time. S/P Prostatectomy. ---------------------------- The patient's previous work-up history is listed below: June 2025 - Platelets 119 L, Neutrophils Absolute 7.5 H, PSA: <0.1 GLU 107 H, AST 67 H, ALT 139 H TESTO: < 3 pMRI: PIRADS 2, no prostate tissue visualized (Dec'24) (Independently reviewed the actual images/tracings and came to my own conclusions) 4Ksccore: 72.7, PSA 5.44 (Oct'24) PSA: 5.44 (4K-Oct 2024), 6.81 (Oct 2024), 6.8 (Aug 2024), 2.5 (Apr 2024), PSMA PET/CT Feb 2025): Mildly PSMA -positive tiny retroperitoneal left para-aortic lymph node, suspicious for metastatic lymphadenopathy from prostate cancer. No other foci of abnormal activity, including in the post prostatectomy bed, Tiny lung nodule in the right upper lung, along the mahor fissure, with no abnormal activity. Three month follow up with diagnostic CT of the chest may be considered. (Independently reviewed the actual images/tracings and came to my own conclusions). Prostate MRI Date 12-2024 Prostate size (g) 0 s/p prostatectomy MRI Findings PIRADs 2 lesion Family history Prostate cancer? No General Urology: Reports ?prostate surgery 2005, no records provided no LUTS since then Denies gross hematuria, dysuria, pain. Progress Note: [PROVIDER_NAME], MD 01/14/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/13/2026 10:29 AM EDT 1/3 4/13/26, 7:29 AM Print Preview [PATIENT_NAME] DOB: [DOB] (77 yo M) Acc No. [ACCOUNT_ID] DOS: 01/14/2026 Current Medications Taking Abiraterone Acetate 250 MG Tablet 4 tab(s) orally once a day predniSONE 5 MG Tablet 1 tablet with food or milk orally once a day Medication List reviewed and reconciled with the patient Past Medical History Elevated PSA. Prostate Cancer. Surgical History Prostatectomy Family History Father: deceased Mother: deceased Mother and Father - no known medical conditons with Parents. Social History Smoking: no Recreational drug use: no. Exercise: yes. Caffeine: yes, 1 cup of coffee every morning. Alcohol: socially Sexually active: no. Occupation: no. Screening Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure Denies Past Hospitalization Review of Systems 11 system Review