Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD La ; eaoss Date of Birth: 01/20/1953 Sex: » WHITE acl y: ae Encounter Date: 07/12/2019 13:10 Provider: | Unit: Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: Provider: as COMPLAINT 1 Chief Complaint: ENDO/LIPID Subjective: 66 YR OLDMVHITE MALE WITH HX OF HYPERT! CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800, MEDS HX OF O ) STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE EIR Gi SIDE EFFECTS. UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. Y HAS SIS _CASUING NUMBNESS AND SHOOTING PAIN IN THE MACHINE. STATES THE L4 -L5 SEVERE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH Hx: Yes Pain Assessment Date: Pain: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 MEDROL DOSE PACK Q Intervention: Trauma Date/Year: Injury: Mechanism: Onset: Duration: O, 5+ Years 5+ Years NO EXERCISE MEDROL DOSE PACK Exacerbating Factors: Relieving Factors: Reason Not Done: Comments: & Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely lil Nutrition No: Appears Obese Generated 07/12/2019 14:20 by iy Bureau of Prisons - NYM Page tof 3 CONFIDENTIAL SDNY_00009419 EFTA00033825

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M___Race: WHITE Facility: NYM Encounter Date: 07/12/2019 13:10 Provider: Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat Rhythm (RRR), Normal $1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active B: Ss Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Q Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# jedicati Dat Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 30 CC Orally - Two Times a Day PRN x 2 day(s) Indication: Constipation, unspecified MethyiIPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 AS DIRECTED Orally - daily x Pack 21 tab) 6 day(s) Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by Bureau of Prisons - NYM Page 2 of 3 CONFIDENTIAL SDNY_00009420 EFTA00033826

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M_ Race: WHITE Encounter Date: 07/12/2019 13:10 Provider: Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFOR AND FOLLOW-UP. Patient Education Topics: 07/12/2019 Counseling Diagnosis Copay Required: No Cosign Required: No Telephone/Verbal Order: Completed by Beaudouin, 5 07/12/2019 14:20 Generated 07/12/2019 14:20 by Bureau of Prisons - NYM CONFIDENTIAL Reg #: Facility: Unit: Provider 76318-054 NYM 205 Verbalizes Understanding Page 3 of 3 SDNY_00009421 EFTA00033827

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M__ Race: WHITE Facility: NYM Encounter Date: 07/12/2019 13:10 Provider: Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: as Chief Complaint: ENDO/LIPID 66 YR OL, HYPERTI 800 , MEDS Subjective: HITE MALE WITH HX OF CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS / STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE EIR GI SIDE EFFECTS. UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. Y HAS SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE HX OF O} MACHINE. STATES THE L4-L5 SEVERE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH HX: Yes Pain Assessment Date: Pain: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 MEDROL DOSE PACK Q Intervention: Trauma Date/Year: Injury: Mechanism: Oo, Onset: 5+ Years Duration: Ly 5+ Years NO EXERCISE MEDROL DOSE PACK Exacerbating Factors: Relieving Factors: Reason Not Done: Comments: & Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill Nutrition No: Appears Obese Generated 07/12/2019 14:20 by Bureau of Prisons - NYM Page lof 3 CONFIDENTIAL SDNY_00009422 EFTA00033828

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M__ Race: WHITE Facility: NYM Encounter Date: 07/12/2019 13:10 Provider: Unit: Z05 oo as Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active B is Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness (A) Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Q Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 30 CC Orally - Two Times a Day PRN x 2 day(s) Indication: Constipation, unspecified MethylIPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 AS DIRECTED Orally - daily x Pack 21 tab) 6 day(s) Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by fF Bureau of Prisons - NYM Page 2 of 3 CONFIDENTIAL SDNY_00009423 EFTA00033829

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M_ Race: WHITE Encounter Date: 07/12/2019 13:10 Provider: Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Format Handout/Topic 07/12/2019 Counseling Diagnosis Copay Required: No Telephone/Verbal Order: Cosign Required: No n 07/12/2019 14:20 Generated 07/12/2019 14:20 by fF Bureau of Prisons - NYM CONFIDENTIAL Reg #: Facility Unit Provider 76318-054 NYM Z05 Outcome Verbalizes Understanding Page 3of 3 SDNY_00009424 EFTA00033830

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Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 Sex: M Race: Encounter Date: 07/14/2019 17:36 Facility: Amendment made to this note by Po on 07/14/2019 18:11. Bureau of Prisons - NYM CONFIDENTIAL 76318-054 WHITE NYM SDNY_00009425 EFTA00033831

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: = Facility: NYM Note Date: 07/12/2019 09:06 Provider: Unit: Z05 Admin Note - Orders encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: PATIENT REQUESTED TO HAVE ACOLACE RX, INSTEAD OF TEH BISACODYL FOR CONSTIPATION. New Medication Orders: Rx# Medication Order Date Prescriber Order Docusate Sodium Capsule 07/12/2019 09:06 TAKE ONE 100 MG CAP Orally - Two Times a Day x 30 day(s) Indication: Constipation, unspecified Discontinued Medication Orders: Rx# Medication Order Date Prescriber Order 121757-NYM Bisacodyl E.C. 5 MG TAB 07/12/2019 09:06 Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days Discontinue Type: When Pharmacy Processes Discontinue Reason: discontinue Indication: Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by EEE on 07/12/2019 09:10 Generated 07/12/2019 09:10 by Bureau of Prisons - NYM Page 1 of 1 CONFIDENTIAL SDNY_00009426 EFTA00033832

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: i, Facility: NYM Note Date: 07/07/2019 00:17 Provider: Unit: E06 Cosign Note - Intake Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 14 Provider: MED CL:1 NO CCC APPT. Discontinued Laboratory Requests: Details Frequency Due Date Priority Lab Tests-H-Hemoglobin A1C One Time 08/05/2019 00:00 Routine Lab Tests-C-CBC w/diff Lab Tests-L-Lipid Profile Lab Tests-C-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic Additional Information: 66 y/o male, elevated BP Labs requested to be reviewed by: Po New Laboratory Requests: Details Frequency Due Date Priority Chronic Care Clinics-Diabetic-CBC widiff One Time 07/25/2019 00:00 Routine Chronic Care Clinics-Diabetic-Lipid Profile Chronic Care Clinics-Diabetic-Hemoglobin A1C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Details Frequency End Date Due Date Priority General Radiology-Chest-2 Views One Time 07/25/2019 Routine Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by [EEE on 07/07/2019 00:30 Generated 07/07/2019 00:30 by ST Bureau of Prisons - NYM Page 1 of 1 CONFIDENTIAL SDNY_00009427 EFTA00033833

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Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Bureau of Prisons Health Services History & Physical Inmate Name: EPSTEIN, JEFFREY EDWARD Sex: M Provider: Race: WHITE Reg #: Facility: Unit: 76318-054 NYM HO01 i Seizures: Diabetes: Cardiovascular: CVA: Hypertension: Respiratory: Sickle Cell Anemia: Carcinoma/Lymphoma: Allergies: Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss: No Fever: No Cough: No Comments: Infectious Disease Risk Factors: IV Drug Use: No IV Drug Use Needles: Sexual Partner IV Drug Use: No Denied Denied Denied Denied Denied Denied Denied Denied Denied Sexual Partner IV Drug Use Needles: Female Sexual Partners (Last 5 Yrs): 10+ Male Sexual Partners (Last 5 Yrs): 0 Condom Use: Sometimes Sexual Contact With HIV+ Individual: No Blood Product Transfusion: No Travel Outside US: Yes Tattoos: No Comments: Born in US High school diploma Banker Traveled to Paris x 3 weeks up until arrest No tattoos Generated 07/09/2019 13:03 by [A CONFIDENTIAL Bureau of Prisons - NYM Page 1 of 13 SDNY_00009428 EFTA00033834

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Inmate Name: EPSTEIN, JEFFREY EDWARD 76318-054 Date of Birth: 01/20/1953 Sex: » WHITE NYM Encounter Date: 07/09/2019 12:35 Provider: | HOt HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: ~ Last CD4: Comments: Hepatitis: Denied Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chlamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other: No Comments: Chlamydia in 2015, treated Chicken pox in childhood Abuse History: Denied Physical: No Emotional: No Sexual: No Comments: Denies Generated 07/09/2019 13:03 by Bureau of Prisons - NYM Page 2of 13 CONFIDENTIAL SDNY_00009429 EFTA00033835

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: : WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: | Unit: HO1 Mental Health: Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Hx of Mental Health Treatment: None Hx of Head Injury: None Current Mental Health Treatment: No Current Mental Health Complaint: No Hx of Loss of Consciousness: No Hx of Hearing Voices: No Past History of Suicide Attempt: No Current Suicide Ideation: No Suicide Prevention Initiated:No Comments: Substance Use History: Denied Current Painful Condition: Denied Other Health Issues: Current Medical Conditions: Other Current Treatments: Pregnant: N/A Dental Condition: Denied Generated 07/09/2019 13:03 by JE Bureau of Prisons - NYM Page 3 of 13 ——— €0NFIDENTIAL SDNY_00009430 EFTA00033836

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Inmate Name: Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Observations: Draining Skin Lesions: No Signs of Lice: No Signs of Scabies: No Signs of Recent Trauma: No Recent Tattoos: No Needle Marks: No Signs of Rash: No Open Sores: No Wounds: No Body Deformities: No Tremors: No Sweating: No Comments: Generated 070872019 13:3 by EA CONFIDENTIAL EPSTEIN, JEFFREY EDWARD Sex: Race. WHITE Provider: Bureau of Prisons - NYM Reg #: Facility: Unit: 76318-054 NYM HO1 Page 4 of 13 SDNY_00009431 EFTA00033837

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg # 76318-054 Date of Birth: 01/20/1953 Sex: Race: WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: | Unit: HO Immunizations: Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: FY Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Measles/Mumps/Rubella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: fe Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Smallpox Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: iy Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Tetanus Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Generated 07/09/2019 13:03 by Bureau of Prisons - NYM Page 5 of 13 CONFIDENTIAL SDNY_00009432 EFTA00033838

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: i ITE Facility: wy Encounter Date: 07/09/2019 12:35 Provider: Unit: Immunization Date: Provider: ase Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Temperature: Date Time Fahrenheit Celsius Location Provider 07/09/2019 12:49NYM 97.3 36.3 Oral HL Pulse: Date Time Rate Per Minute —_ Location Rhythm = Provider 07/09/2019 12:49 82 Via Machine Regular HH Respirations: Date Time Rate Per Minute Provider 07/09/2019 12:49 NYM 16 rt] Blood Pressure: Date Time Value _—_ Location Position Cuff Size —_ Provider 07/09/2019 12:49NYM 117/66 Right Arm Sitting Adult-regular HHH $a02: Date Time Value(%) Air Provider 07/09/2019 12:49 NYM 97 Room Air Pt Height: Date Time Inches Cm = Provider 07/09/2019 12:49 NYM 70.0 177.8 Patil | Generated 07/09/2019 13:03 by a’ Bureau of Prisons - NYM Page 6 of 13 CONFIDENTIAL SDNY_00009433 EFTA00033839

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Sex: » WHITE Provider: Reg #: 76318-054 Facility: NYM Unit: HO01 Date Time Inches Cm = Provider Weight: Date Time Lbs Kg Waist Circum. Provider 07/09/2019 12:49NYM 194.4 88.2 Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Patient Education Assessments: Date Ed Yrs Occupation Learns Best By Primary Language Barriers to Education 07/09/2019 12 Banker Family History - Father: Age at Death: 74 Cause of Death: Diabetes complications Significant llinesses: Diabetes Heart Disease Comments: Family History - Mother: Age at Death: 81 Cause of Death: Kidney Failure Significant llinesses: Heart Disease Comments: Family History - Sibling: Number of Siblings: 1 Significant Ilinesses: Comments: Past Hospitalization: Reason Acute Appendicitis Complications: None Comments: Head: Normal: Yes Comments: Generated 07/09/2019 13:03 by SN CONFIDENTIAL Speaking/Listening English Location Mount Sinai Hospital Bureau of Prisons - NYM None 1990 Page 7 of 13 SDNY_00009434 EFTA00033840

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: : WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: Unit: HO1 Eyes: EOMI: Yes Icterus:No Conjunctival Inflammation: No Pupils PERRLA: Yes Pupil Size Rt: Pupil Size Lt: Pupils Comments: Fundi Vessels Nicking: No Fundi Vessels Discs Flat:Yes Fundi Vessels Discs Sharp Margins: Yes Fundi Vessels Grounds Abnormal: No Eyes Comments: Vision Screen 07/09/2019 12:52 Blindness: Distance Vision: OD: 100 Os: 70 OU: OD: os OU: Near Vision: OD: os: OU: OD: os: OU: With Corrective Ishihara Color Test: Tonometry: L: R: Comments: Needs evaluation with optometrist. Ears: Right Ear: Canal patent Left Ear: Canal patent Ears Comments: Nose: Nares Patent: Yes Septum Midline: Yes Septum Intact: Yes Drainage/Discharge:No Polyps: No Nose Comments: Generated 07/09/2019 13:03 by Bureau of Prisons - NYM Page 8 of 13 CO N F | D ENTIAL SDNY_00009435 EFTA00033841

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: » WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: Unit: HO1 Mouth Lesions:No Oral/Buccal Mucosa:Yes Gums Normal: Yes Tonsils Present: Yes Tonsils Normal: Yes Pharynx: Normal Color Teeth Poor Dentition: No Teeth Count:Mostly Present Dentures: No Mouth Comments: Cranial Nerves: Intact II-XIl: Yes Cranial Nerves Comments: Neck: Full ROM: Yes Masses/Nodes: No Trachea: Midline Thyroid: Normal Size Comments: Breasts: Normal: Yes Masses:No Tenderness:No Scars: No Dimpling:No Nipple Discharge: No Nipple Retraction: No Instructions for Self Breast Exam Given: No Comments: Generated 07/09/2019 13:03 by J Bureau of Prisons - NYM Page 9 of 13 CONFIDENTIAL SDNY_00009436 EFTA00033842