Rongelap 51 HOSPITAL OF THE BROOKHAVEN UPTON, Ares Code MEDICAL RESEARCH CENTER, NATIONAL LABORATORY NEW YORK 11973 516 YAphank 4-6262 NAME) 08-50-52 R OISCHARGE SUMMARY {UNIT NO) CIRC 63 and was able to get up and walk around, with an increase in appetite, was considered fit to travel to Cleveland on 3 June 1974, She When the patient arrived at the she was improved, Cleveland Metropolitan General Hospital Her chest x rays were reviewed by a chest specialist and the EKG by a cardiologist, Their opinions were that the ? hilar shadows were not suggestive of tuberculosis but of bronchitis, and the T-wave changes in the EKG were not considered significant. Their conclusions were that these conditions did not preclude surgery. Positive pressure ventilation and other pulmonary exercises were instituted and resulted in removal of large amounts of bronchial mucus with marked improvement in the patient's status prior to surgery, be small, On 5 June 1974, thyroid surgery was carried out, The gland was found to thin, and brownish in color and quite friable. A l-cm mass was ‘removed from the mid left lobe which was filled with necrotic fluid and a smaller 5 mm tongue of adenomatous tissue removed from near the isthmus, The pathological diagnoses for both masses were adenomas". The patient's postoperative con- valescence was uneventful with no pulmonary problems. A positive serological test for syphilis was reported, This was confirmed on re-check, DISCHARGE MEDICATION & INSTRUCTIONS: Dr. Knudsen, the resident physician in the Marshall Islands, was notified of the return of this patient and advieed about the positive serological test and the desirability for continued postural drainage procedures, She was resumed on thyroid hormone treatment (Synthroid®) and given a supply to take back to the islands with her. She will be given careful followup exams. DISCHARGE DIAGNOSES: I. Benign thyroid adenomas, surgically 2. Chronic browchitis. removed, Cfte® O Grand Robert A, Conard, M.D, cfh Received: Typed: 6/25/74 6/27/74 ee Ly Comandbierly Page 2 of 2 BNL 720A - 139 -