Rongelap 83 HOSPITAL OF THE MEDICAL RESEARCH CENTER, NAME} SROOKHAVEN NATIONAL LABORATORY UPTON, NEW YORK 11973 Aree Code 516 YAphank 4=6262 08-50-54 R (UNIT NO. OISCHARGE SUMMARY ADMETTED: 27 May 1974 CIRC 63 . DISCHARGED: 3 June 1974 This 20-year-old Marshallese boy was admitted for thyroid studies and consideration for possible surgery in Cleveland. MEDICALHISTORY: In Sepcamber 1973, a small nodule was noted in the left lobe of the thyroid. During the recent March 1974 survey, an additional slight enlargement of the tight 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 che second trimester to 175 rads whole body gamm radiation from accidental fallout, and the thyroid also received an indeterminate dose from radiciodines 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 platealecs, He has been examined regularly by our medical team and no serious findings have been noted, He has had the usual childhood infections, and om one occasion he had a brief hospitalization for acute URI, His growth and development have been normal. PHYSICAL EXAM ON ADMISSION: 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 lymphadenopathy was noted. LABORATORY & X-RAY DATA: 123 Thyroid scans showed a discrete area of decreased radioactivity in che middle portion of the left lobe. IT uptake was 24.6%, T&4 level was 6.7 w2% in March. 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 com- ‘The patient was given 20 uci 13ly juse before discharge to Cleveland for sutcradiographic analysis of excised lesions, At che Cleveland Metropolitan General Hospital on 4 June 1974, thyroid surgery was performed by 3. M. Debyna, M.D. There was a 3-4 mm mass in che left lobe near the isthmus, al cm soft mass in the superior pola and the right lobe contained a1 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 noo complications. By 9 June the wound was healing nicely and the patient was discharged for travel back to the Marshall Islands, A summary of his hospitalization including surgical and -l- - 134 -