Rongelap 83 HOSPITAL OF THE MEDICAL RESEARCH CENTER, (NAME) BROOKHAVEN NATIONAL LABORATORY UPTON, NEW YORK 11973 08-50-54 R Area Coda 516 YAphank 4-6262 (UNIT NO.) DISCHARGE SUMMARY CIRC 63 ADMITTED: 27 May 1974 DISCHARGED: 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 che thyroid. During the recent March 1974 survey, an additional slight enlargement of the right lobe was palpated. He has always appeared euthyroid and the T4 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 gamm radiation from accidental fallout, and the thyroid also received an indeterminate dose from radioicdines which had been absorbed by the mother, When first seen, 3 months 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 normal, 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 lymph- adenopathy was noted. LABORATORY & X-RAY DATA: , middle portion of the left lobe, in March, 123 Thyroid scans showed a discrete area of decreased radioactivity in the I uptake was 24.6%, T4 level was 6.7 ug% The hemogram and blood chemistry data were within normal limits. HOSPITAL COURSE: pletely asymptomatic. The hospital course was uneventful. He ate and slept well and was comThe patient was given 20 pci 131y fust before discharge to Cleveland for autoradiographic analysis of excised lesions, At the Cleveland Metropolitan General Hospital on 4 June 1974, thyroid surgery was performed by B. M, Dobyns, M.D, There was a 3-4 mm mass in the left lobe near the isthmus, a 1 cm soft mags in the superior pole and the right lobe contained a 1 cm soft mass. These were removed and the histological diagnoses were 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 Marshali Islands. A summary of his hospitalization including surgical and -l1- - 134 -