We messaged privately.
To confirm for others, the DS-2054 is the updated version of the DS-2053 (confirmed with USCIS) and will be accepted in its place. I confirmed with my own case and my I-485 was approved.
Hello OP! Thank you so much for posting this thread because here I am a few months later with the exact same situation LOL.
We also have the DS-2054. Our original application included the DS-3025 and highlighted instructions on the I-693 and I-485 stating a medical exam was not required.
What did you end up doing? What was the result?