New York Yankees starting pitcher Luis Gil was lifted from Tuesday’s game against the visiting Cleveland Guardians in the fourth inning because of low back tightness.

Gil was later examined by David Trofa, the team’s orthopedic doctor, the Yankees announced. Gil will be reassessed again Wednesday, but no imaging was scheduled.

Gil called for a trainer after throwing a changeup to Cleveland slugger Jose Ramirez as Steven Kwan stole second. Following a brief meeting with manager Aaron Boone and a trainer, Gil was lifted and replaced by Tim Hill.

Pitching on seven days’ rest, Gil allowed three runs and three hits in three-plus innings. The rookie issued six walks and struck out three, but threw first-pitch strikes to just six of 20 hitters, counting Ramirez.

Gil is 12-6 with a 3.39 ERA in 24 starts this year. He has struggled with command at times, yielding a major-league-high 66 walks in 124 2/3 innings after missing most of the previous two seasons due to Tommy John surgery.

–Field Level Media