Retrosternal enlargement of the thyroid may be suspected in patients who complain of a feeling of engorgement in the head or dyspnoea when raising their arms.
Evidence for a retrosternal goitre should be sought be percussion over the sternum. Pemberton's sign should be elicited.
A plain radiograph of the thoracic inlet may reveal a radio-opaque mass in a retrosternal location.
Last reviewed 01/2018