Rongelap 83 HOSPITAL Of THE MEDICAL RESEARCH CENTER, BROOKHAVEN NATIONAL LABORATORY UPTON, NEW YORK 11973 08-50-54 R Area Code $16 YAphenk 4-6262 DISCHARGE SUMMARY (NAMB (UNIT NO) CIRC 63 ADMLITED: 27 May 1974 DESCHARGED: 3 June 1974 This 20-year-old Marshallese boy was admitted for thyroid studies and consideration for possible surgery in Cleveland. MEDICAL HISTORY: In September 1973, a small nodule was noted in the left Lobe of the chyroid. During the recent March 1974 survey, an additional slight enlargement of the right lobe was palpated, He has always appeared euthyroid and the T% levels have been within normal limits, This boy was one of 4 Rongelap children exposed in utero, He was exposed near the end of the second trimester to 175 rads whole body gamrm radiation from accidental fallout, and the thyroid also received an indeterminate dose from radiocicdines which had been absorbed by the mother. When first seen, 3 monchs after birth, the only possible indication of radiation exposure was a transitory depression of his blood platelets. He has been examined regularly by our medical team and no serious Findings have been noted, He has had the usual childhood infections, and on one occasion he had a brief hospitalization for acute URI. been normsl,. PHYSICAL EXAM ON ADMISSION: His growth and development have This Marshallese boy is well-developed and well-nourished, He appears euthyroid, Physical exam is generally negative except for the thyroid findings. A small, 2 mm, freely moveable nodule was noted in the left lobe and a bumpy irregularity in the upper right lobe. No tenderness of the gland or lymphadenopathy was noted, LABORATORY & X-RAY DATA: Thyroid scans showed a discrete area of decreased radioactivity in the middle portion of che left lobe. I uptake was 24.6%, T4 level was 6.7 gi in March, The hemogram and blood chemistry data were within normal limits. The hospital course was uneventful. ° He ate and slepe well and was coa- pletely asymptomatic. The patient was given 20 pct 13ly just before discharge to Cleveland for autoradiographic analysis of excised lesions, Act the Cleveland Metropolitan General Rospital on 4 June 1974, thyroid surgery was performed by. B. M, Dobyns, M.D. There was a 3-4 mm mess in the lefe Lede near the isthmus, a 1 ca soft mass in the superior pole and the right lobe contained a 1 cm soft mass. ‘These were removed and the histological diagnoses vere benign adenomas, one of which was trabecular in pattern. His recovery from surgery was uneventful with no complications, By 9 June the wound was healing nicely and the patient was discharged for travel back to the Marshall Islands. A summary of his hospitalizacion including surgical and -L- - 134 - Me oe ei HOSPITAL COURSE: 123 j : i