case_images: PMC9252716_01
case_images: CT neck scan with contrast showed a markedly enlarged bilateral thyroid gland measured approximately 7.8 x 7.2 cm, with marked transverse narrowing of the trachea at the level of the thyroid gland to approximately 8.6 mm (solid yellow line).
case_images: CRIE2022-3719320.001.jpg
case_images: PMC9252716_01_CRIE2022-3719320.001.jpg
case_images: fig1
case_images: Her CT neck scan with intravenous contrast showed an enlarged, probably malignant thyroid gland with a marked amount of adjacent pathologic lymph nodes and marked transverse narrowing of the trachea to approximately 8.6 mm with no retrosternal extension (Figure 1).
case_images: Following chemotherapy, the patient's CT neck scan with contrast showed a significant decrease in the thyroid size measured approximately 4.2 x 4.2 cm, with marked improvement in tracheal narrowing.
case_images: CRIE2022-3719320.002.jpg
case_images: PMC9252716_01_CRIE2022-3719320.002.jpg
case_images: fig2
case_images: She started R-CHOP chemotherapy (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone), followed by a marked reduction in the thyroid size and relieving of the tracheal compression on the following CT neck scan (Figure 2).