Large Substernal Thyroid Goiter Associated With Saddle Pulmonary Embolism
Large Substernal Thyroid Goiter Associated With Saddle Pulmonary Embolism
Large Substernal Thyroid Goiter Associated With Saddle Pulmonary Embolism
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Fig. 1: Coronal CT of chest and neck with intravenous contrast Fig. 2: Coronal CT (chest and neck) with IV contrast shows the
shows large goiter (asterisks) with extension into superior inferior extent of the goiter (asterisk) into the superior mediastinum
mediastinum and compression of the left internal jugular vein (arrow) at the level of the aortic arch (dotted arrow). The filling defect in
the left main pulmonary artery is consistent with PE (solid arrow)
Fig. 3: Left para-sagittal CT of neck and chest with intravenous Fig. 4: Total thyroidectomy, gross specimen. Short black silk suture
contrast. The goiter extends from the retropharyngeal region marks the right superior pole. White measuring tape denotes 15 cm
(asterisk) to the superior mediastinum (2 asterisks). Note the filling
defect in left main pulmonary artery (arrow)
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