PMC5238610_01
CT scan demonstrating severe stenosis and disposition of the trachea.
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The trachea was severely stenosed and dispositioned to the right side (Fig. 1).
Partly retracted goiter revealing a fibrous, cord-like brachiocephalic vein.
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After manipulation, the isthmus and left lower lobe of the substernal goiter were carefully dissected from a fibrous and cord-like branchiocephalic vein (Fig. 2, Fig. 3).
Excised substernal goiter, weighting 325 gr. Below is a nodule of excised thymus gland.
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Pathology report was significant for a 325gr multilobular goiter, with a maximum diameter of 15.3 cm (Fig. 4).
6 month follow up demonstrating good closure of the sternal and cervical wounds.
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At 6 month follow up, he was doing fine, while he reported no further symptoms from his upper left extremity (Fig. 5).