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Superior mediastinal mass - multinodular goiter

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Cough.

Patient Data

Age: 65 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Widening of the superior mediastinal contours, which extend superior to the thoracic outlet. Tracheal deviation to the left at the level of the thoracic outlet. This is suspicious for a thyroid mass with retrosternal extension.  

CT confirms superior mediastinal mass secondary to multinodular goiter with retrosternal extension. 

Case Discussion

In this case the multinodular goiter is so enlarged, it extends into the superior mediastinum, resulting in the cervicothoracic sign.

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