34 year old man In 2020 in Baltimore at Hopkins he had a problem and was sent to Wilmer and imaging showed something that was off. He has forgotten what that was and you noticed also a change in his follow-up scan compared to the last few years (he has been seeing you yearly). Medical Hx: Noncontributory. Surgical Hx: Sx R Shoulder (2022) . Systemic Meds: Trileptal 600 MG Oral Tablet. VA OD: Dcc20/20 NscJ1 VA OS: Dcc20/20 NscJ1+ IOP: TP: OD:16 OS:17