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[Egg shell calcification of the substernal goitre]
Nurhan Köksal1, Ali Cetinkaya, Aytekin Güven
1Kahramanmaraş Sütçü Imam University Faculty of Medicine, Pulmonary Diseases, Kahramanmaraş, Turkey. koksalnurhan@hotmail.com
Tuberkuloz Ve Toraks
|April 22, 2004
Summary
This case presents a rare instance of substernal multinodular goiter with calcification. The imaging findings, particularly eggshell calcification, are key to diagnosing this thyroid condition.
Area of Science:
- Endocrinology
- Radiology
- Thoracic Surgery
Background:
- Substernal goiters can present with varied symptoms and imaging characteristics.
- Differentiating goiter calcification from other mediastinal pathologies is crucial.
Observation:
- A 71-year-old female presented with fever, cough, and palpitations.
- Physical exam revealed a palpable thyroid and tachycardia. Chest X-ray showed a wide upper mediastinum with a calcified nodule.
- CT scan confirmed a substernal multinodular goiter with calcification in the left lobe.
Findings:
- Thyroid function tests indicated hyperthyroidism.
- The goiter extended into the upper mediastinum.
- Characteristic eggshell calcification was noted in the left lung apex, associated with the goiter.
Implications:
- This case highlights the importance of correlating imaging findings with clinical presentation for substernal goiters.
- Recognizing calcification patterns aids in diagnosis and management planning.
- Surgical or medical management should be considered based on symptoms and goiter size.