131-IODINE THERAPY

DATE:  10/4/2005

PROCEDURE:  After obtaining informed consent, the patient was given 131-Iodine orally for therapy.

131-IODINE DOSE: [...] mCi.

CLINICAL HISTORY: The patient is a [...]-old [fe]male with a history of [...], now referred to Nuclear Medicine for Iodine-131 therapy.

FINDINGS/CONCLUSION: [...] mCi of I-131 was administered orally on an outpatient basis.  The patient was given the usual precautions regarding radiation safety including avoiding close contact with young children, pregnant women, and family members for the next 72 hours.  The patient denies being pregnant and was confirmed with a negative pregnancy test at the time of administration.

Thank you for referring this patient to the UCLA Nuclear Medicine Clinic.

I, [...], M.D., Ph.D., have reviewed this Nuclear Medicine study personally, and am in full agreement with the findings of the report presented here.