Rongelap 51 HOSMIAL Of THE SALOKCAL RESEARCH CENTER, ian BROCKHAVEN NATIONAL LASOLATORT UPIOM, NEW YORK 11975 08-50-52 BR EMT NOL Ares Code S14 TAphonh 44-6262 CIRC 63 DISCHARGE. SUMMARY and was able to get up and valk around, with an increase in appetite, was considered {ie to travel to Cleveland on 3 June 1974, She When the patient arrived at the Cleveland Metropolitan General Hospital she was Improved, Her chest x raya were reviewed by a chest specialist and the £KG by « cardiologist, Their opinions were that che 7 hilar shadows were nok suggestive of tuberculosis but of bronchitis, and the T-wave changes in) the EKG were not considercd significant. Their conclusions were that these conditions did not preclude surgery, Positive pressure ventilation and other pulmonary exercises were instituted and resulted in removal of large amounts of bronchial mucus with marked improvement in the patient's status prior to surgery, On $ June 1974, thyroid surgery war carried out. The gland was found to be sralt, thin, and brownish in color and quite Eriable, A l-cm masa was removed from the mid left lobe which was filled with necrotic fluid and a smaller $ mm tongue of adenomatous tissue removed from near che isthmus, The nathological dlagnoses for boch masses were “adenomas”, The patient's postoperative con+ valescence was uneventful with no pulmonary problems, <A positive serological test for syphilis was reported, This was confirmed on re-check, DISCHARGE MEDICATION G& INSTRUCTIONS: Dr, Knudsen, the resident physician in the Marshall Islands, was notified of the return of this patient and advised about the positive serological test and the destrabilicy for continued postural drainage procedures, She was resumed on thyroid hormone treatment (Synthroid) and giver a supply to take back to the islands with her, She will be given careful follaup exams, DISCHARGE DIAGNOSES: 1, 2. Benign thyrold adenomas, surgically Temoved, Chronic browcnitis. PRADA O Lomns— Robert A, eth Received: Typed: a 6/25/74 bs/25/7% 2 ce. dy Somatet us Page Zz of 2 pM 720A 139 + Conard, M.D,