c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Substernal Goiter: 1

A D V E R T I S E M E N T

   
 

A 42-year-old woman with a known history of multinodular goiter developed progressive symptoms of airway constriction and dysphagia. Chest X-ray shows tracheal deviation and compression. In addition to deviation and compression, tracheomalacia was seen on preoperative bronchoscopy.      

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Substernal Goiter: 2

A D V E R T I S E M E N T

   
 

This and the following two CT scan series show the relationship of the substernal goiter to the arch vessels (arteries red, veins blue) and trachea (white). The trachea lies in its normal midline position at the upper portion of the enlarged thyroid gland and is displaced progressively to the right toward the base of the neck. The great vessels are splayed to the sides (see neck anatomy).      

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Substernal Goiter: 3

A D V E R T I S E M E N T

   
 

The goiter fills the upper mediastinum between the sternum and vertebral column, displacing the trachea and esophagus to the right. The brachiocephalic, left common carotid and left subclavian arteries are displaced anterior to the goiter.       

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This page was last modified on 5/11/2004.