Patient Note — 261558

4/14/26, 1:26 PM Print Preview [PATIENT_NAME] DOB: [DOB] (72 yo M) Acc No. [ACCOUNT_ID] DOS: 12/02/2025 [PATIENT_NAME] 72 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Self Pay PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge 12/02/2025 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. REV MRI/PSA History of Present Illness Elevated PSA/Screening: 72yM with h/o of elevated PSA presents here today for follow up with pMRI and PSA review. Patient is doing well today. Reviewed and discussed the PSA and prostate MRI result, which is abnormal. Patient is requesting refill for tamsulosin today. ****************************************************************** His current PSA is 11.21 in November 2025, and 10.2 in October 2025 Family history is ***positive/negative*** for prostate cancer. Per loved one, patient endorses bothersome urinary symptoms currently managed with Tamsulosin 0.4mg. --------------- The patient's previous work-up history is listed below: PSA: 11.21 (November 2025), 10.2 (October 2025) IPSS: 0 (November 2025) QOL: 0 (November 2025) Prostate MRI w/wo contrast (November 2025)- 1. PI-RADS 4 lesion in the right apical peripheral zone measuring 1.0 x 0.7 cm. 2. PI-RADS 4 lesion in the right mid posterior peripheral zone measuring 4 x 4 mm. 3. No enlarged lymph nodes. DRE: 4Kscore: n/a Biopsy: n/a FamHx: n/a. Current Medications Taking Tamsulosin HCl 0.4 MG Capsule TAKE ONE CAPSULE BY MOUTH EVERY DAY Oral Losartan Potassium 25 MG Tablet 1 tablet Orally Once a day Medication List reviewed and reconciled with the patient Past Medical History Hypertension. Surgical History femur surgery Family History Father: deceased Mother: deceased Progress Note: [PROVIDER_NAME], MD 12/02/2025 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/14/2026 04:26 PM EDT 1/5 4/14/26, 1:26 PM Print Preview [PATIENT_NAME] DOB: [DOB] (72 yo M) Acc No. [ACCOUNT_ID] DOS: 12/02/2025 Social History Smoking: no Recreational drug use: no. Exercise: no. Caffeine: yes, frequency: 1 cup daily. Alcohol: socially Type: , Frequency: ,Years: , Determination:. Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure Denies Past Hospitalization Review of Systems 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient ...ag. Vital Signs Examination Assessments 1.Elevated prostate specific antigen [PSA] - R97.20 (Primary) 2.Benign prostatic hyperplasia with lower urinary tract symptoms - N40.1 3.Disease of prostate - N42.9 Treatment 1.Elevated prostate specific antigen [PSA] Notes: 72yM with h/o of elevated PSA presents here today for follow up with pMRI and PSA review. I discussed with the patient his recent PSA in November 2025 was 11.21 ng/mL indicating an elevated result. I explained that anything below 4.0 is