Retrosternal goiter

Case contributed by A.Prof Frank Gaillard


Occasional dysphagia to solids.

Patient Data

Age: 55
Gender: Male

Chest 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 image

Annotated frontal x-ray

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 goiter extending behind the sternum. It was confirmed on CT and resected. 

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Case information

rID: 15514
Published: 23rd Oct 2011
Last edited: 30th Jan 2019
Inclusion in quiz mode: Included

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