Rongelap 83 HOMITAL OF THE MOOCHAVIN UHIOM area Code MEDICAG RESEARCH CENTER HallOnaAL LabOaaloar NEW YORK 1197) $i6 VAphenh 4-4262 amd) 08-50-54 paral MO) OISCHARGE SUMMARY ADMITTED: 27 May R CIRC 63 1974 DISCHARCED: 3 June 1974 This 20-year-old Marshallese boy was admitted for thyroid studies and consideration for possible surgery in Cleveland, MEDICAL HISTORY: In September 197}, a small nodule wag noted in the lefc Lobe of the thyroid, During the recene March 1974 aurvey, an addicional slight enlargement of the right lobe was palpaced, He has always appeared euchyroid and the T4 levels have been wichin normal Limits, This boy was one of 4 Rongeiap children exposed in utero, We was exposed near the end of the second Crimester to 175 rade whole body gamm radiacfion from accidental fallouc, and the thyrold also received an indeterminate dose from radiciodines which had been absorbed by the mother, hen first seen, 3 months after birth, the only possible indication of radiation exposure was a Cransicory depression of his blood platelecs, He has been examined regularly by our medical team and no serious findings have He has had the usual childnood infecttons, and on one occasion been noted, he bad a brief hospitalization for acute URI, His growth and development have been normal, PHYSICAL EXAM ON ADMISSTON: This Marshallese boy is well-developed and well-nourished, He appears euthyroid. Phystcal 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 che upper right lobe, No tenderness of the gland or Iymphadenopathy was noced, LABORATORY & X-RAY PATA: Thyrotd scans showed a discrete area of decreased radioactivity in the middle portion of the lefr lobe, T uptake was 24.6%, TS level vas 6.7 uy da March, The hemogram and blood chemistry data were within normal limits, 123 HOSPITAL COURSE: The hospital course was uneventful, He ace and slepc well and was completely asymptomatic, The patient was given 20 uci 13ly juse before discharge to Cleveland for autoradlographic analysis of excised lesions, Ac the Cleveland Metropoiltan General Hospital on 4 June 1974, thyrold surgery was performed by 38, M. Dobyns, M.D, There was a 3+4 mm miss in the lefe lobe near the isthmus, a t cm soft mass in the superior pole and the Fight lobe contained a 1 cm soft masa, These were removed and the histological diagnoses were benign adenomas, one of which was trabecular in pattern, His recovery from surgery was uneventful with no complications. By 9 June the wound was healing nicely and the patlent was discharged for travel back to the Marshall Ialands, <A suamary of his hospitalization -)- lia - including surgica)] and