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OCR: Frominen TTSCE TTSROS but no chest film at the lower borders of the rib n the bony changes of acromegaly are present ied surgical dorsal spine isee Fig 23.7 Atthe combi approach cervical incision and aright in the posterolateral thoractomy the large med tobe right side the mediastinum was conf fthe continuous with 81. enlarged right lobe gical thyroid gland and was rermoved Histole large examination showed that the mass was colloid goitre acromer presen surgica approaci cervica arigh richt corf enlareed eland renoved Histol exarmination Iass