Rongelap 45 HOSPITAL OF THE MEDICAL RESEARCH CENTER, BROOKHAVEN NATIONAL LABORATORY UPTON, NEW YORK 11973 Ares Code 516 YAphank 4-6162 8-45-41R N ' AME) UNIT NO) DISCHARGE SUMMARY -2on June lLOth, 1973 and transferred to the Cleveland Metropolitan General Hospital, At the Cleveland Metropolitan General Hospital, on June 12th, surgical exploration of the thyroid and upper mediastinum was carried out. No mass was found in the right lower thyroid region and it was thought that a somewhat thickened lower edge of the sternocleidomsstoid muscle may have been deceiving. However, a small cyst was discovered in the lower left pole of the gland which proved to be a degenerating cystic adenoma. Convalescence was quite uneventful. A summary of the hospitalization including surgical and pathological reports at Cleveland is included in her BNL record. FINAL DIAGNOSIS: Adenoma with cystic degeneration. DISCHARGE MEDICATION: On the basis of her thyroid status, thyroxin treatment is not indicated. However, a decision is pending as to whether to give thyroxin supplemental treat- ment in this group of islanders who received a smaller dose of radiation. She will have periodic follow-up examinations including determination of serum thyroxin levels at six-month intervals. 7 Robert A. Conard, M.D, RA: bwa Diet: 6/27/73 Typed: 6/28/73 ONL 720A - 125 -