A 34-year-old woman presents with a nodular neck mass which moves with deglutition. She also associated tachycardia, tremors and heat intolerance. An FNAC of the mass showed a colloid nodular goiter. A total thyroidectomy was planned for the patient.

An X-ray of the patient was taken as a part of pre-anesthetic check-up. What should the surgeon be prepared for? Source: Regal MAH, Zakaria HM, Ahmed AS, Aljehani YM, Enani HS, Al Sayah AA. OMJ Oct 2010; 25(4):315-317.