Multinodular goiter with substernal mediastinal extension

Case contributed by Dr Fakhry Mahmoud Ebouda


Large anterior neck swelling, with dyspnea and palpitation.

Patient Data

Age: 50 years
Gender: Female

Soft tissue neck swelling with tracheal deviation to the right side suggesting thyroid lesion likely multinodular goiter.

The thyroid gland appears enlarged more on the left side. It extends caudally to the left to be intrathoracic mediastinal location. It has hypodense non enhancing areas of breaking down and degeneration.It causes tracheal compression snd dispalcement to the right side.

Case Discussion

Asymmetrically enlarged thyroid with retrosternal/substernal extension with tracheal compression.

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Case information

rID: 62146
Published: 3rd Aug 2018
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included

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