President Donald Trump underwent medical testing after he had been seen with deep bruises on his hand and swollen legs in recent days, and was diagnosed with chronic venous insufficiency, White House press secretary Karoline Leavitt said Thursday.

But on Thursday afternoon, the White House admitted that there’s a little more going on than some extraordinarily vigorous greetings. Leavitt said that after noticing mild swelling in his legs in recent weeks, Trump underwent a “comprehensive examination, including diagnostic vascular studies.”

The White House says bruising on his hands is consistent with damage from frequent handshakes while taking aspirin.