The thyroid gland is markedly enlarged with lobulated outline and heterogeneous parenchyma shows multiple hypodense areas as well as course and chunky calcified foci. A retrosternal extension is noted, more evident on the left side.
Bilateral small deep cervical lymph nodes.
Marked loculated right pleural effusion is seen with relaxation collapse of the right upper and lower lung lobes.
Moderate left pleural effusion is seen with some relaxation collapse of the left lung lower lobe is seen.
Cardiomegaly with enlarged all cardiac chambers as well as atheromatous calcifications of the coronary arteries. Enlarged supra-hepatic, hepatic and infra-hepatic portions of the IVC as well as hepatic veins with mild ascites.