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OCR: Paly, The Fig. 23.39b Intrathoracic goitre in acrome d mass right lateral view shows a clearly define ed with a t of the lying posteriory. The patient had presen goitre and had noticed some enlargeme 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 scar patient was continuity with the cervical goitre. The d also found to have a pituitary tumour a s can be acromegaly. Prominent muscle insertio rders of seen on the PA chest film at the lower b ly are the ribs but no bony changes of acromeg At the present in the dorsal spine (see Fig. 23.7) acision and combined surgical approach of cervical i ge mass in a right posterolateral thoractomy, the la nfirmed to the right side of the mediastinum was c e of the be ...