Presentation
CXR performed to assess acute onset breathlessness. Mild inspiratory stridor. History of childhood asthma.
Patient Data
Tracheal deviation and mediastinal shift to the right, with thickening of the right paratracheal stripe.
Lungs and pleura clear. Normal cardiac size.
Large left thyroid goiter, maximally 85 mm. No retrosternal extension.
This compresses and displaces the trachea to the right, with nearly approximately cross-sectional area reduction compared to the normal trachea.
No abnormal nodes or other neck mass.
Lungs, included abdomen, and skeleton are clear.
Case Discussion
A large left thyroid goiter with tracheal deviation and compression.
The patient underwent total thyroidectomy, with follicular variant papillary thyroid cancer within the pathological sample. Further radioiodine treatment was delivered and the patient remained well under imaging and endocrine follow-up.