Presentation
Dysphagia and a mass in the neck over one year of evolution.
Patient Data
On the non contrast study, there is a mass at the level of the left side of the neck with displacement of the vascular and area structures towards the contralateral side. The mass is contiguous with the thyroid gland. It demonstrates heterogenous nodular enhancement post contrast, with associated displacement of the jugular veins, left common carotid artery, and trachea to the right.
Volumetric reconstruction of the neck shows an enlarged thyroid gland predominantly in the left thyroid lobe, with an intrathoracic component occupying the superior mediastinum.
Case Discussion
This case demonstrates the tomographic characteristics of a substernal goiter, which is a goiter that extends more than 3 cm from the thoracic inlet.
Co-authors: Santizo Juan Carlos MD, specialist radiologist. Escobar Carlos MD, radiology resident. Cortez Evelyn MD, radiology resident.
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