CT Scanning is Indicated for Retrosternal Goiter

  • CT scanning is indicated for retrosternal goiter and can provideinformation on the following:
    • Confirmation of the presence and determination of extent of retrosternal extension
    • A ‘road map’ for the anesthetist:
      • Tracheal deviation and compression
    • Esophageal compression
    • At-risk anatomical structures in the impending surgical field
    • An assessment of malignancy (not accessible by ultrasound)
    • Anterior versus posterior mediastinal extension
    • The likelihood that the goiter can be extracted without the need for a sternotomy:
      • The ‘shape’ of the goiter

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