White House physician Dr. Sean Barbabella declared President Trump in excellent health following his latest physical at Walter Reed — but buried inside the three page report was something that is generating significant discussion.

Trump now weighs 238 pounds — a gain of 14 pounds in just 13 months — putting his BMI at 29.7, just 0.3 points below the clinical obesity threshold of 30. His cardiac age was estimated to be 14 years younger than his actual age and his cognitive assessment came back perfect — but his doctor still recommended increased physical activity, dietary changes and continued weight loss as Trump approaches his 80th birthday next month. He called the results perfect. His doctor quietly told a different story between the lines.