Hi, it looks like they're doing two paths of investigation.
1) The cause of the Hyperprolactinemia. Take a look at this "DDx": https://emedicine.medscape.com/article/121784-differential
Bad kidney function is a possible cause, so you have had the creatinine test - as one example.
2) Then they want to know what's causing the neck bumps and related symptoms. So they looked at a possible Epstein Barr flareup - as one example.
Have you had a sonogram of the neck bumps?