Rongelap 45 HOSPITAL OF THE MEDICAL RESEARCH CENTER, (NAMED BROOKHAVEN NATIONAL LABORATORY UPTON, NEW YORK 11973 8-45-41R Area Code 516 YAphank 4-6262 (UNIT NO.) DISCHARGE SUMMARY ADMITTED: June 2, 1973 DISCHARGED: June 10, 1973 This Si-year-old Marshallese woman was brought to this Hospital for study of possible thyroid nodularity and evaluation of physical status for thyroid surgery. MEDICAL HISTORY: centimeters in uncertainty as history it was adenopathy and The examination in March revealed a suspicious area of firmness about 2.5 diameter in the region of the Lower right thyroid pole. There was to whether it was in the thyroid gland, but because of her radiation thought surgical exploration was indicated. There was no Lymphshe appeared euthyroid. She was exposed to fallout radiation in 1954, receiving about 69 rads whole-body gamma tadiation and about 134 rads co her thyroid gland from absorption of radio- iodines from the fallout. She had mild radiation effects with slight transient hematological depresaion and auperficial beta burns to the skin. She recovered from these effects within the year and in subsequent years only minor medical findings were noted. Among these were pleural thickening of the right hemidiaphragm, chronic endocervicitis, gonorrhea, pingueculae (left) and partial prolapse of the vaginal wall. She has always appeared euthyroid and several thyroxin levels were in the normal range, though che Marchlevel was somewhat low. PHYSICAL EXAMINATION: This lady was well-nourished and somewhat overweight. The thyroid examination revealed an area of firmness as deacribed above, in the lower right thyroid region near the clavicle. Again, iC was uncertain a# to whether this was actually thyroid tissue being palpated. The patient appeared euthyroid and no lymphadenopathy was noted, The physical examination waa otherwise generally negative except for slight cardiac enlargement and eye findings noted above. LABORATORY AND X-RAY DATA; appeared normal. good. Her chest diaphragm on the The hemogram was The thyroid scans showed no evidence of thyroid nodularity and che thyroid gland The RAI uptake was normal and the response to TSH stimulation was x-ray showed slight cardiac enlargement and some tenting of the right from scarring, probably due to an old inflammatory disease. normal except for a high sedimentation rate (which is frequently seeo in the Marshallese, particularly the women). were generally normal. HOSP ¢ : The blood chemistry findings During her 8-day scay here, she remained generally asymptomatic except for slight pain in the right shoulder at night relieved by aspirin, and nasal congestion on several occasions which was relieved by nose drops. BNL 720A - 124 - She was discharged