ahieee, 2 PATIENT NO, 61 (continued) and development has appeared to be entirely normal, if not somewhat precocious. A l cm nodule of the left Lower pole of the thyroid was noted in September, 1965, which did not decrease on thyroid hormone therapy. She appeared to be euthyroid with PBIs in the normal Marshallese range. Her cholesterol was slightly elevated in 1957 (277 mg%). Physical Examination: The patient was obese. The remainder'of the physical examination was essentially negative except for slight acne and dental caries. Laboratory and X-Ray Data: Thyroid Studies: PBI was 7.5 wes with thyroxin iodine 4.9 42%; T3 was 12.9%. Antithyroglobulin titre was 1:32. Cholesterol was 162 mg% (esters 151 mg%). Thyroid scan using 99mPe showed normal uptake but the gland was asymmetrical, with the right lobe showing uptake only in the upper portion. A "hot" nodule was noted in the lower left pole of the thyroid. 132y uptake was normal and there was normal increase in uptake following TSH stimulation. The chest plate and EKG were normal. The remainder of the laboratory studies were essentially negative except for an increased sedimentation rate which is an unexplained finding in most of the Marshallese. Hospital Course; Following the studies at this hospital, the patient was transferred to the New England Deaconess Hospital in Boston on June 5, 1966. On June 8, Dr. Bentley P. Colcock of Lahey Clinic performed a bilateral subtotal thyroidectomy removing a 1.5 cm nodule in the left lower thyroid lobe and a small cyst in the right lower lobe. Dr. W. A. Meissner of the New England Deaconess Hospital examined the surgical specimens, and his pathological diagnosis was "adenomatous goiter." Recovery from surgery was uneventful, and the patient was readmitted to this hospital on June 11. She was placed on desiccated thyroid, 180 mg daily, indefinitely. Her wound healed nicely, and she was asymptomatic. Diaznosis: Adenomatous goiter. Discharge Medication: Thyroid hormone therapy to be continued indefinitely. This patient was seen in September, 1966, in the Marshall Islands, and she was found to be euthyroid on the hormone therapy, with no complications. PATIENT NO, 65 AGE 13. SEX F HOSPITAL Hospital of Medical Research Center, BNL DATE June, 1966 This 13 year old Marshallese girl was admitted to this hospital for evaluation of a 0.5 cm nodule of the right lobe of the thyroid gland discovered during the past year. History of Present Illness: This child was exposed to faliout radiation in 1954 at 1 year of age and received an estimated dose of 175 rads of whole-body gamma radiation, irradiation of the skin from deposition of fallout material thereon, and absorption of significant amounts of radionuclides from ingestion of contaminated food and water. It was estimated her thyroid gland received a dose in the range of 700-1,400 rads from radioiodines in the fallout and in addition 175 rads from gamma radiation. She had early gastrointestinal symptoms 108 90063492