Compressive Symptoms in Euthyroid Multinodular Nontoxic Goiter

Diagnostic Approach

• The American College of Radiology recommends thyroid ultrasound as the first-line imaging to confirm diagnosis and document size, and CT neck without contrast if substernal extension or tracheal compression is suspected, in patients with compressive symptoms such as dyspnea, dysphagia, and dysphonia 1
• The American College of Radiology suggests that diagnostic workup should include thyroid ultrasound and CT neck without contrast to evaluate the extent of goiter and potential compression symptoms 1