Toxic multinodular goiter x ray: Difference between revisions
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==Overview== | ==Overview== | ||
An x-ray may be helpful in the diagnosis of multinodular goiter. Findings on an x-ray suggestive of multinodular goiter include anterior/superior mediastinal mass, that may be associated with deviation of the trachea and/or cervicothoracic sign. | An [[x-ray]] may be helpful in the diagnosis of multinodular goiter. Findings on an x-ray suggestive of multinodular goiter include anterior/[[Mediastinal mass|superior mediastinal mass]], that may be associated with deviation of the [[trachea]] and/or cervicothoracic sign. | ||
==X Ray== | ==X Ray== | ||
An x-ray may be helpful in the diagnosis of multinodular goiter. Findings on an x-ray suggestive of multinodular goiter include:<ref name="pmid8844728">{{cite journal |vauthors=Hurley DL, Gharib H |title=Evaluation and management of multinodular goiter |journal=Otolaryngol. Clin. North Am. |volume=29 |issue=4 |pages=527–40 |year=1996 |pmid=8844728 |doi= |url=}}</ref> | An x-ray may be helpful in the diagnosis of multinodular goiter. Findings on an x-ray suggestive of multinodular goiter include:<ref name="pmid8844728">{{cite journal |vauthors=Hurley DL, Gharib H |title=Evaluation and management of multinodular goiter |journal=Otolaryngol. Clin. North Am. |volume=29 |issue=4 |pages=527–40 |year=1996 |pmid=8844728 |doi= |url=}}</ref> | ||
*Anterior/superior mediastinal mass, that may be associated with deviation of the trachea. | *Anterior/superior [[mediastinal mass]], that may be associated with deviation of the [[trachea]]. | ||
*Cervicothoracic sign: Cervicothoracic sign is used to localize a mass in the superior mediastinum on frontal chest x-ray as either anterior or posterior. Anterior mediastinum ends at the level of the clavicles, Any mass with an upper border above the level of clavicles must be located posteriorly in the chest, i.e. apical segments of upper lobes, pleura, or posterior mediastinum. | *Cervicothoracic sign: Cervicothoracic sign is used to localize a mass in the [[superior mediastinum]] on frontal chest x-ray as either anterior or posterior. [[Anterior mediastinum]] ends at the level of the clavicles, Any mass with an upper border above the level of clavicles must be located posteriorly in the chest, i.e. apical segments of upper lobes, pleura, or [[Posterior mediastinum|posterior mediastinum.]] | ||
[[File:Superior-mediastinal-mass.jpeg|200px|thumb|left|Widening of the superior mediastinal contours;<small>Case courtesy of Dr Henry Knipe, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/30542">rID: 30542</a></small> | [[File:Superior-mediastinal-mass.jpeg|200px|thumb|left|Widening of the superior mediastinal contours;<small>Case courtesy of Dr Henry Knipe, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/30542">rID: 30542</a></small> | ||
]] | ]] | ||
*In this case the multinodular goitre is so enlarged it extends into the superior mediastinum, resulting in the cervicothoracic sign. | <br clear="left" /> | ||
Widening of the superior mediastinal contours, which extend superior to the thoracic outlet.Tracheal deviation to the left at the level of the thoracic outlet. This is suspicious for a thyroid mass with retrosternal extension. | *In this case the multinodular goitre is so enlarged it extends into the [[superior mediastinum]], resulting in the cervicothoracic sign. | ||
*Widening of the [[Superior mediastinal syndrome|superior mediastinal]] contours, which extend superior to the thoracic outlet.[[Tracheal deviation]] to the left at the level of the thoracic outlet. This is suspicious for a thyroid mass with retrosternal extension. | |||
<br clear="left" /> | <br clear="left" /> | ||
Latest revision as of 12:31, 13 October 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mazia Fatima, MBBS [2]
Overview
An x-ray may be helpful in the diagnosis of multinodular goiter. Findings on an x-ray suggestive of multinodular goiter include anterior/superior mediastinal mass, that may be associated with deviation of the trachea and/or cervicothoracic sign.
X Ray
An x-ray may be helpful in the diagnosis of multinodular goiter. Findings on an x-ray suggestive of multinodular goiter include:[1]
- Anterior/superior mediastinal mass, that may be associated with deviation of the trachea.
- Cervicothoracic sign: Cervicothoracic sign is used to localize a mass in the superior mediastinum on frontal chest x-ray as either anterior or posterior. Anterior mediastinum ends at the level of the clavicles, Any mass with an upper border above the level of clavicles must be located posteriorly in the chest, i.e. apical segments of upper lobes, pleura, or posterior mediastinum.
- In this case the multinodular goitre is so enlarged it extends into the superior mediastinum, resulting in the cervicothoracic sign.
- Widening of the superior mediastinal contours, which extend superior to the thoracic outlet.Tracheal deviation to the left at the level of the thoracic outlet. This is suspicious for a thyroid mass with retrosternal extension.