A 77-year-old man presented to an endocrinology clinic for the evaluation of subclinical hyperthyroidism. The patient reported no other symptoms of thyrotoxicosis, dyspnea, or dysphonia that could suggest that he had tracheal compression. Physical Examination The physical examination of the patient revealed An enlarged thyroid with no palpable nodules or cervical lymphadenopathy ( Fig. 1A ) Presence of reversible facial congestion was observed upon elevation of both arms ( Fig.
1B ) Blood Analysis The blood analysis of the patient revealed Plasma thyrotropin level-0.2 mIU/liter Normal serum level of free thyroxine Radiograph Analysis A CT scan of the neck revealed an enlarged thyroid, which was observed to be compressing the subclavian and jugular veins along with the patent’s trachea, which was deviated to the left ( Fig. 2 ). Source: The New England Journal Of Medicine Which of the…
