during the last two days was complicated by the patient's agitation and inability to cooperate with the respirator, so that he was eventually given curare. The terminal event at 2:40 a.m. on November 15, 1972, seemed to be an intrapulmonary hemorrhage followed by hypoxemia and hypotension. FINAL DIAGNOSES : 1. 2. 3. 4. 5. 6. 7 Acute progranulocytic leukemia Resected thyroid nodule. Tinea versicolor. Mild cutaneous furunculosis, Chronic left otitis media. Periodontitis with subsequent sepsis. Pneumonitis with terminal intrapulmonary hemorrhage James Mabry, M.D./C/12~-5-72 JM:nht K-I 12~11-72 Attachment: - Admission History and Physical Examination CLINICAL RECORD Rongelap (54) 09-44-40 3 C) Hintery end Physical Examination BL, summary -6THE CLINICAL CENTER NATIONAL INSTITUTES OF HEALTH - 145 - C Consuteation 0 Follow-up Narrative Continuation NHOOPP (Rev, 571)