Rongelap 75 HOSPITAL OF THE BROOKHAVEN UPTOM, Area Code MEDICAL RESEARCH CENTER, NATIONAL LABORATORY NEW YORK 11973 S16YAphonk 4-6262 (NAME) 08-42-33 R (UNIT NO.) DISCHARGE SUMMARY * HOSPITAL COURSE: Her hospital course here was uneventful and she was found to be in good condition for surgery, Prior to discharge the patient was given 25 pCi 131I co ensure complete removal of thyroid tissue in case complete thyroidectomy was indicated in the eventuality of malignancy, She was discharged 13 November and transferred to Cleveland Metropolitan General Hospital. At the above hospital on 14 November 1972 thyroid surgery was performed by Dr, Brown Dobyns. Grossly both lobes of the gland were found to be multinodular. The right lobe exhibited a 1.5 - 2 cm. nodule in the upper part of the lobe and a smaller nodule in the lower part. The left lobe was filled with smaller nodules, Both lobes were removed and a small nodule was excised from the isthmus and the remainder of the isthnus was lefe intact. Microscopic examination revealed numerous benign, adenomatous nodules with prominent microfollicular areas in both lobes, Recovery from surgery was uneventful and the wound was healing nicely when she was discharged for reture to the Marshall Islands on 19 November 1972, Details of her hospitalization in Cleveland, including surgical and pathological reports, are attached. FINAL DIAGNOSIS: _ pS ne - thyroid gland. ~ The patient was advised to continue taking her thyroxin medication (Synthroid) rigerously. A copy of the Hospital Summary and advice about postsurgical treatment as well as treatment cf her intestinal parasites is being forwarded to the practitioner at the Majuro Hospital in the Marshall Islands. The patient will also be carefully followed up on subsequent medical surveys, ia hy : ~ oe “LE. . 2. we + ae ee 0 owine _ aoa ae oes Fre: PIL. =f es pele 7 . 4 “ON - ~ LT weed wong eee No ye Tate, sae ho t . Robert A, Conard, M.D. : oa BR Md - 2 owas L. - ‘ SS A- Depaheos ppl ° oe er site own tthe a . ie - ote ce ‘ DISCHARGE MEDICATION: Benign adenomatous nodules of the . ona. 7204 og - 119 - pan