Presentation
Chest pain
Patient Data
Age: 70 years
Gender: Female
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Mediastinal mass with smooth margins, extending above the clavicles. The superior contour of the aortic arch is obscured. Mild rightward tracheal deviation. Normal hilum overlay.
In an older adult, this is most likely a thyroid goiter.
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Heterogeneous multinodular goiter with coarse calcifications, extending predominantly into the middle mediastinum, from the left thyroid lobe. Posterior and rightward displacement of the esophagus. Mild compression of the trachea.
Case Discussion
One of the most common causes of a superior mediastinal mass in an older adult is a thyroid mass/goiter.