Tracheal narrowing and deviation from goiter on CXR

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Cough, SOB and lightheadedness. Subjective fevers.

Patient Data

Age: 45 years
Gender: Female

The trachea is severely narrowed and displaced to the right, likely from a superior mediastinal mass such as a goiter. Further assessment with neck ultrasound could be performed.

The lungs are clear. No pleural fluid or pneumothorax. Heart size on upper limit of normal. No mediastinal lymphadenopathy.

Case Discussion

The patient had a known large retrosternal goiter, larger on the left side.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.