Rongelap 45 HOSPITAL OF THE MEDICAL RESEARCH CENTER, BROOKHAVEN NATIONAL LABORATORY (NAME) UPTON, NEW YORK 11973 8-45-41R Area Code S16 YAphank 4-6262 (UNIT NO) DISCHARGE SUMMARY ADMITTED: June 2, 1973 DISCHARGED: June 10, 1973 This 5l-year-old Marshallese woman was brought to this Hospital for study of possible thyroid nodularity and evaluation of physical status for thyroid surgery. MEDICAL HISTORY: centimeters in uncertainty as history it was adenopathy and The examination in March revealed a Suspicious area of firmness about 2.5 diameter in the region of the lower right thyroid pole. There was to whether it was in the thyroid gland, but because of her radiation thought surgical exploration was indicated. There was no Lymphshe appeared euthyroid. She was exposed to fallout radiation in 1954, receiving about 69 rads whole-body gamma radiation and about 134 rads to her thyroid gland from absorption of radioiodines from the fallout. She had mild radiation effects with slight transient hematological depression and superficial beta burns to the skin. She recovered from these effecta within the year and in subsequent years only minor medical findings were noted. Among these were pleural thickening of the right hemidiaphragm, chronic endocervicitis, gonorrhea, pingueculae (left) and partial prolapse of the vaginal wall. She has always appeared euthyroid and several thyroxin levels were in the normal range, though the March level was somewhat low. PHYSICAL EXAMINATION: This lady was well-nourished and somewhat overweight. The thyroid examination revealed an area of firmness as described above, in the lower right thyroid region near the clavicle. Again, it was uncertain as to whether this was actually thyroid tissue being palpated. The patient appeared euthyroid and no lymphadenopathy was noted. The physical examination was otherwise generally negative except for slight cardiac enlargement and eye findings noted above. LABORATORY _AND X-RAY DATA: appeared normal. The thyroid scans showed no evidence of thyroid nodularity and the thyroid gland The RAI uptake was normal and the response to TSH stimlation was good. Her chest x-ray showed slight cardiac enlargement and diaphragm on the right from scarring, probably due to an old The hemogram was normal except for a high sedimentation rate seen in the Marshallese, particularly the women). The blood were generally norm). HOS P ES some tenting of the inflammatory disease. (which is frequently chemistry findings During her 8-day stay here, she remained generally asymptomatic exce.. for slight pain in che right shoulder at night relieved by aspirin, and nasal congestion on several occasions which was relieved by nose drops. She was discharged ONL 720A - 124 -