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OCR: galy. The Fig. 23.39a Intrathoracic goitre in acrome ight upper PA chest film shows a large mass in the stinum chest which is confluent with the media hargin. The medially and has a well-defined lateral r ication and mass does not contain any obvious calci he left. Theis only slightly displacing the trachea to ned mass right lateral view (b) shows a clearly defi ed with a t of the lying posteriory. The patient had presen goitre and had noticed some enlargemer s of hands and feet. There were no symptom in the dysphagia or of thyrotoxicosis. The mass s to be in chest was subsequently shown on T scan atient was continuity with the cervical goitre. The also found to have a pituitary tumour a s can be rders of acromegaly, Prominent muscle insertion seen on the PA chest film at the lower b ly ar ...