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OCR: tne FIC Intrathoracic goitre 11 mass right lateral view shows clearly define with a lving posterory The patien hac presen tof the goitre and had noticed some enlargeme: hands and feet There were no symptorr the dysphagia or of thyrotoxicosis The Imass tobe in chest was subsequently shown on scar atient was continuity with the cervical goitre. The also found to have pituitary tumour scan be acronegaly. Frominen muscle inser tio rders of seen on the PA chest filn at the lower 1y are the ribs but no bony changes of acromes At the present in the dorsal spine isee Fig. 23.7} icision and cornbined surgical approacl of cervical e Iass in right posterol ateral thoractomy the 18 nfirmed to the right side of the medi astinum was e of the De continuous with an enlarged right 10 eical thyroid gland an ...