Retrosternal goitre

Case contributed by A.Prof Frank Gaillard

Presentation

Occasional dysphagia to solids.

Patient Data

Age: 55
Gender: Male

Chest x-ray

Modality: X-ray

Chest x-rays demonstrate a large mass in the superior mediastinum, displacing to the right and somewhat narrowing the trachea. There is thickening of the right paratracheal stripe suggesting that it extends to the right of the trachea also. The outline of the mass fades out inferiorly, and does not obscure the arch or the aorta or the descending aorta. 

Annotated frontal x-ray

Modality: Annotated image

The mass projects both to the left (orange) and right (yellow) the trachea (blue) which is displaced towards the right. The superior border of the mass fades out both superiorly and inferiorly but does not obliterated the outline of the aortic arch and descending aorta (green). 

Case Discussion

This case illustrates the typical appearance of a large goitre extending behind the sternum. It was confirmed on CT and resected. 

PlayAdd to Share

Case Information

rID: 15514
Case created: 23rd Oct 2011
Last edited: 7th Oct 2015
Systems: Chest, Head & Neck
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.