Goitre

Case contributed by Dr Bruno Di Muzio

Presentation

Shortness of breath.

Patient Data

Age: 51

Chest radiograph

Modality: X-ray

The cardiac contour is within normal limits. There is enlargement of the right superior mediastinal contour with tracheal displacement to the left. The lungs and pleural spaces are clear.

CTPA

Modality: CT

There is diagnostic contrast opacification of the pulmonary arteries. There is no evidence of pulmonary embolus. Right thyroid lobe is enlarged and extends down beside the trachea until the right main pulmonary bronchus, circumscribed, and exhibiting heterogeneous attenuation with some scattered central calcifications. There is mild leftward displacement of the trachea and oesophagus, anterior compression over the superior vena cava, and compression over the lung right upper lobe. Subtle mosaic attenuation pattern in the lower lobes. Lungs are otherwise unremarkable. The pleural spaces are clear. There is no lymph node enlargement. 

Case Discussion

This case illustrates a large right thyroid lobe goitre with retrosternal extension into the right chest apex and the mediastinum, as well as associated tracheal deviation and compression. It has been further confirmed histologically. 

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Case Information

rID: 47578
Case created: 22nd Aug 2016
Last edited: 28th Aug 2016
System: Head & Neck
Tag: rmh
Inclusion in quiz mode: Included

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