PMC8112356_01
(a) Preoperative chest radiograph showing mediastinal mass with tracheal deviation to the left. (b) Postoperative radiograph showing centralized trachea. Sternotomy wire in situ
NJS-27-66-g001.jpg
PMC8112356_01_NJS-27-66-g001.jpg
F1
Chest radiograph showed a huge mediastinal mass with a leftward deviation of the trachea and downward displacement of the heart [Figure 1a]. Postoperative chest radiograph showed a centralized trachea, widened mediastinum, and homogenous opacity in the lower lobe of the right lung [Figure 1b].
Neck and chest computed tomography scan showing progressively narrowed trachea with the area of minimum trachea diameter close to the carina
NJS-27-66-g002.jpg
PMC8112356_01_NJS-27-66-g002.jpg
F2
The mass is seen displacing the trachea to the left and compressing on it [Figure 2].
Rigid bronchoscope in situ, connected to a breathing circuit
NJS-27-66-g003.jpg
PMC8112356_01_NJS-27-66-g003.jpg
F3
The breathing circuit was then connected to the side port of the bronchoscope and the patient ventilated through the bronchoscope [Figure 3].
Excised 300 g retrosternal goiter
NJS-27-66-g004.jpg
PMC8112356_01_NJS-27-66-g004.jpg
F4
The resected thyroid mass, the larger part of which was retrosternal, weighed 300 g [Figure 4].