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Goiter causing tracheal compression

Case contributed by Dr Steve Lau

Presentation

Dyspnea following trachael biopsy. Intubated prior to CT.

Patient Data

Age: 65 years
Gender: Male

CT neck

CT

CT neck shows edema in the retropharyngeal space likely related to recent biopsy. There is fluid collecting in the posterior nasal cavity, nasopharynx and valleculae.

A large goiter extends retrosternally causing compression of trachae.

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