Intrathoracic Goiter with Thyrocervical Aneurysm
Imaging findings
Chest CT and radiograph show a massive calcified anterior mediastinal mass displacing structures. CT confirms a giant multinodular goiter extending from the neck into the mediastinum, supplied by a large, tortuous branch aneurysm of the thyrocervical trunk.
Key takeaways
Giant intrathoracic goiters can extend deep into the anterior or middle mediastinum. They are highly vascular and can be associated with aneurysms of the feeding vessels (e.g., inferior thyroid artery or thyrocervical trunk).
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