Multinodular goiter with tracheal deviation
75 male presents with 25kg of weight loss with possible mediastinal mass on CXR with tracheal deviation.
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A large multinodular thyroid with calcified modules demonstrating retrosternal extension predominantly on the left with tracheal deviation to the right. The trachea is not significantly narrowed.
The above case demonstrates a multinodular thyroid with calcification and retrosternal extension. In general ultrasound is the imaging modality of choice in the assessment of thyroid masses however CT provides more information about a restrosternal goiter and its relationship to surrounding structures including the trachea, esophagus, and great vessels1.
- 1. Day T, Chu A, Hoang K. Otolaryngologic Clinics of North America. 2003;36 (1): . doi:10.1016/S0030-6665(02)00157-3