Rongelap 75 POSPITAL OF Ted MLCICAL MESARCH CENTER, MOOKHAVIN NATIONAL LABORATORY UPION, NEW VORA bP?) 08-42-33 Atos Code 516 VAphans 4-6262 R jamb jurul MOQ 7 CISCHARGE SUMMARY HOSPITAL COURSE: Her hospital course here was uneventful and ashe was found to be in good condition for surgery, Prior to discharge the patient was given 25 uCi \JIz to ensure complete removal of thyroid tissue in case complete thyroidectomy was indicated in the eventuality of malignancy, She was discharged 13 November and transferred to Cleveland Metropolltan General Hospital, Brown Dobyns, The right Ac the above hospital on 14 November 1972 thyroid surgery was performed by Dr, Grossly both lobes of the gland were found to be miltinodular, lobe exhibited a 1,5 - 2 cm. nodule in the upper part of the lobe and a amaller nodule in the lower part. The lefe lobe was filled with smaller nodules, Boch lobes were removed and a small] nodule was excised from the isthmus and the remainder of the isthmus was left intact, Microscopie examination revealed nugerous benign, adenomatous nodules with prominence microfollicular areas in both lobes, Recovery from surgery was uneventful and the wound was healing nicely when she was discharged for return to the Marshall Islands on 19 November 1972, Details of her hospitalization in Cleveland, including surgical and pachological reports, are attached, FINAL DIAGNOSTS: Benign adenomatous nodules of the thyroid gland. DISCHARGE MEDICATION: The patient was advised to continue taking her thyroxin wedication (Synthroid) rigorously, <A copy of the Hospical Summary and advice about postwurgical treatmenr as wel] as Creatment cf her intestinal parasites ts being forwarded to the practitioner at the Majuro Hospital in the Marshall Islands, The pacient will also be carefully followed up on subsequent medical surveys, Nhe @O Lives Roberc A. Conard, 4M, D. cfh Received: Typed: 12/21/72 12/21/72 Page 2 of 2 oa 720A - 110 - /