Mediastinal Goiter

The patient in her mid-80’s presented with progressively worsening shortness of breath and wheezing. Her chest XR revealed mediastinal mass - labeled by black arrows on the upper image.

CT chest showed a large mediastinal mass (labeled goiter on the bottom image) almost completely collapsing the airways - labeled with small white arrows.

The patient underwent thoracotomy with mediastinal mass resection as well as total thyroidectomy.

Post-operatively the patient was taken off the ventilator with no difficulties. The patient was started on hormone replacement therapy (thyroid hormone) after the pathology was confirmed.