Superior mediastinal mass: multinodular goiter

Case contributed by Dr Henry Knipe

Presentation

Cough.

Patient Data

Age: 65
Gender: Male

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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Case information

rID: 30542
Published: 18th Aug 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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