View larger version (72K):
|
A 67-year-old woman presented with a 6-month history of dyspnea and dysphagia. Physical examination revealed a small cervical goiter, but the lower poles of the thyroid were not palpable. The serum thyrotropin and free thyroxine levels were normal. Ultrasonography of the neck revealed a large goiter with the right lobe extending into the anterior superior mediastinum; the lower part of the mass was not detectable because of the sternum. Chest radiography (Panel A) showed tracheal deviation (arrows). Cervical and mediastinal computed tomography (Panels B and C, respectively) showed a large goiter (8 by 6 by 10 cm) extending from the . . . [Full Text of this Article] |
Previous
