Arq Bras Endocrinol Metab 2014;58(8):873-874
Images in endocrinology: multinodular goitre
DOI: 10.1590/0004-2730000003549
A 78-year-old female patient of countryside arrived to general practitioner (GP) for medial cervical mass with reported slow growing (about 50 years) and recent superficial vein dilatation noted by her daughter. On clinical examination the diagnosis of multinodular goitre visible at distance with extrinsically right innominate vein – superior vena cava compression and subcutaneous collateral vein formation was done (). Patient underwent ultrasound scan that demonstrate increase volume of thyroid gland with partial substernal extension (incomplete intrathoracic goitre), heterogeneous morphology without well-defined nodules, areas of possible hemorrhage and focal calcifications (). Patient was selected for thyroid surgery.
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