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Clinical Problem Solving: Radiology
December 2004

Radiology Quiz Case 2

Author Affiliations

Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2004

Arch Otolaryngol Head Neck Surg. 2004;130(12):1443. doi:10.1001/archotol.130.12.1443

A 68-year-old woman with a long-standing history of an enlarging multinodular goiter that was refractory to medical suppression presented with increasing dysphagia. Radiologic evaluation revealed a substernal component (Figure 1). The patient successfully underwent a total thyroidectomy. Pathologic analysis revealed 2 foci of well-contained papillary thyroid carcinoma involving the right lobe, with no tumor evident within the left lobe. Postoperatively, the patient has done well and has no dysphonia or dysphagia.