tokens: 641557794 WGH 1460214 715884 957382 5/29/2000 12:00:00 AM Discharge Summary Signed DIS Report Status : Signed DISCHARGE SUMMARY NAME : FREIERMPRATL , NI L UNIT NUMBER : 794-23-29 ADMISSION DATE : 05/29/2000 DISCHARGE DATE : 05/30/2000 PRINCIPAL DIAGNOSIS : : Non-toxic multinodular goiter . ASSOCIATED DIAGNOSES ; Left thyroid occult papillary carcinoma . Chronic lymphocytic thyroiditis , status post right total and left subtotal oophorectomy , asthma , migraine , history of Droperidol allergy . PRINCIPAL PROCEDURE : : 5-29-00 : Thyroidectomy . HISTORY OF PRESENT ILLNESS : The patient is a 51 year-old female , with a non-toxic multinodular goiter . She has developed symptoms from a right lower dominant nodule with pressure discomfort in the neck . She has no dyspnea or dysphagia . She is euthyroid . There is no family history of thyroid cancer . She has not received prior radiation exposure . PHYSICAL EXAMINATION : : On physical exam , she is a healthy-appearing female with a normal voice and no exophthalmos . Vital Signs : include a blood pressure of 174/84 , respirations 14 , pulse 89 , temperature 98.9 , O2 sat 98% . Pupils equal , round , reactive to light and accommodation , and extraocular movements intact . , with a benign oropharynx . Palpation of the neck discloses a multinodular goiter , larger on the right side , with no associated cervical lymphadenopathy . Carotid pulsations are normal without bruit . Lungs : clear to auscultation and percussion . Bilaterally without stridor . Her heart rhythm is regular with a normal S1-S2 , and no murmur . Abdomen is soft , non-tender , with no organomegaly or masses . Her deep tendon reflexes are symmetric . HOSPITAL COURSE : On 5-29-00 , she underwent thyroidectomy with removal of a 3.3 centimeter right lobe microfollicular adenoma and left lobe 6 mm . papillary carcinoma . There was no evidence of any middle compartment lymphadenopathy or spread of the tumor outside the thyroid . She had an uncomplicated postoperative recovery period . Her sutures were removed on postoperative day # one , at which time she went home in satisfactory condition . DOCTOR &apos;S DISCHARGE ORDERS : 1. Synthroid 0.125 mg. daily . 2. She will see Dr. Days in his office in two weeks . 3. She will remove the neck suture lines Steri-Strips in 10 days . STELLRISH L. LIGHT , M.D. Cc : Stellrish L. Days , M.D. ( 3 copies ) Electronically Signed STELLRISH LOISRA LIGHT , M.D. 09/06/2000 04:20 TR : jrn DD : 08/16/2000 TD : 08/20/2000 9:25 A cc : STELLRISH LOISRA LIGHT , M.D.