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Chest radiograph and CT scan (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) demonstrated: a voluminous endothoracic goiter that was causing important tracheal stenosis (anteroposterior diameter of 3.4 mm); elevated left hemidiaphragm (probably secondary to phrenic nerve compression); superior vena cava syndrome; and subsegmental pulmonary thromboembolism in the right middle and lower lobes (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">We performed urgent decompressive left hemithyroidectomy. The patient’s postoperative evolution was favorable.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Diagnosis: Extrinsic critical tracheal stenosis due to endothoracic goiter</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1945 "Ancho" => 2917 "Tamanyo" => 491294 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Several manifestations of compression syndrome caused by the endothoracic goiter: collapse of the superior vena cava; elevated left hemidiaphragm due to paralysis of the left phrenic nerve; and critical tracheal stenosis.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000010200000001/v1_202401211656/S2173507723001783/v1_202401211656/en/main.assets" "Apartado" => array:4 [ "identificador" => "15075" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000010200000001/v1_202401211656/S2173507723001783/v1_202401211656/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507723001783?idApp=UINPBA00004N" ]
