Rongelap 75 HOSPITAL OF THE MEDICAL RESEARCH CENTER, BROOKHAVEN NATIONAL LABORATORY UPTON, NEW YORK 11973 Afea Code S16 YAphank 4~6262 08-42-33 R NAME (NIT NOD OISCHARGE SUMMARY HOS PITAL COURSE: for surgery, . Her hospital course here was uneventful and she was found to be in good condition Prior to discharge the patient was given 25 uci 1311 to 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. Brown Dobyns. At the above hospital on 14 November 1972 thyroid surgery was performed by Dr, Grossly both lobes of the gland were found to be mltinodular. 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 isthmus was left intact. Microscopic examination revealed num- erous 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 return to the Marshall Islands on 19 November 1972, Details of her hospitalization in Cleveland, including surgical and pathological reports, are attached. FINAL DIAGNOSIS: . Benign adenomatous nodules of the thyroid gland. DISCHARGE MEDICATION: The patient was advised to continue taking her thyroxin medication (Synthroid) rigorously. A copy of the Hospital Summary and advice about postsurgical treatment as well ag treatment of 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, Nelof0 beet Robert A, Conard, M.D. cfh Received: Typed: 12/21/72 12/21/72 Poge 2 of 2 BNL 720A - 119 -