Rongelap 45 HOSPITAL OF THE BPOOKHAYVIN UPTON, Area Code MEDICAL RESEARCH CEN: {8 NATIONA, LABORATONT Miw YORK 1197) S16 Yaphank 4-476 amd) B-45-41R junit NO) DISCHARGE SUMMA.& ale on June 10th, 1973 and transferred to the Cleveland Metropolitan Gereral Hospital, At the Cleveland Metropolitan General Hospital, on June 12¢:, surgical exploration of the thyrold and upper mediastinum was carried out, No mass was found im the right lower thyroid region and Lt was Chought that a somewhat thickened lower edge of the sternocleidomastoid muscle may have been deceiving. However, a small cyst was discovered in the lower lefe pole cf the gland which proved to be a degenerating cystic adenoma, Convalescence was quite uneventful, A summary of the huspitalizatton inckuding surgical BNL record, and pathological repurts at Cleveland is FINAL DIAGNOSIS; included in her Adenoma with cystic degeneration. DISCHARGE MEDECATICN: On the basis cf her thyroic scatus, thyroxin treatment is noc indivated, However, a decision is pending a@ to whetner to give thyroxin supplemental treatment in this groupct islanders whe received a amalker dose of radiacion. She will have perisdic followeup examinations including determination of serum *hyroxin levels at six-month intervals, 7? . rad fp atere, Lore erk ~ Robert A. Conard, M.D, RA: bwa Dict: 6/27/73 Typed:6/28/73 ay, 7204 - 125 - .