title: An unusual recurrent intrathoracic goiter: Case report.
abstract: Most intrathoracic goiters are located in the anterior mediastinum, frontal to the recurrent laryngeal nerve and anterolateral to the trachea. Posterior mediastinal goiters account for only 10 to 15% of all intrathoracic goiters and arise from the posterolateral portion of the thyroid gland. We present a case involving a 59-year-old man with history of gradual-onset dyspnea who was referred to us for evaluation of a large mediastinal mass. He had undergone bilateral thyroid lobectomy for a cervical goiter 10 years previously, with no subsequent complications. Contrast-enhanced computed tomography demonstrated a large, well-circumscribed mass extending paratracheally from the thoracic inlet to the posterior mediastinum. The mass was removed via a transcervical and transthoracic approach.
authors.affiliation: Department of Radiology, Tulane University Medical Center, New Orleans, USA.
authors.forename: Natacha
authors.initials: N
authors.lastname: Telusca
authors.forename: Kenneth
authors.initials: K
authors.lastname: Le
authors.forename: Enrique
authors.initials: E
authors.lastname: Palacios
authors.forename: Paul A
authors.initials: PA
authors.lastname: Friedlander
mesh_terms: D006045:Goiter, Substernal / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011856:Radiographic Image Enhancement; D014057:Tomography, X-Ray Computed