Neck swelling associated with dyspnea and palpitation
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Both thyroid lobes are enlarged more on the left side which extends downward to abut the aortic arch. Multiple cystic areas and calcification within.
The gland extends retrosternally on the left side.
Mild external compression and displacement of the trachea.
Retrosternal or substernal goitres are extensions of a thyroid goitre behind the manubrium sterni. This type of goitre is associated with tracheal and esophageal compression and during surgery may result in injury to the recurrent laryngeal nerve and vocal fold paralysis.