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AJNR - American Journal of Neuroradiology

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Preoperative Imaging of Thyroid Goiter: How Imaging Technique Can Influence Anatomic Appearance and Create a Potential for Inaccurate Interpretation

Derek B. Pollard^a, Colin W. Weber^b and Patricia A. Hudgins^a

^a Department of Radiology, Emory University School of Medicine, Atlanta, GA
^b Department of Surgery, Emory University School of Medicine, Atlanta, GA

View larger version (41K): [in a new window]   FIG 1. Use of the chest technique with arms above the head (A) demonstrates clear substernal extension of goiter (arrow). By contrast, use of the neck technique with arms by the sides (B) demonstrates no substernal extension of goiter (arrow).

View larger version (64K): [in a new window]   FIG 2. A, At the level of the clavicular heads on chest technique images goiter with at least 180° of extension around the trachea (arrow). B, At the same level on neck technique does not image goiter (arrow).