Intended for healthcare professionals

Endgames Spot Diagnosis

An occult cause of dyspnoea

BMJ 2015; 350 doi: (Published 26 June 2015) Cite this as: BMJ 2015;350:h2976
  1. Anthony Simon Bates, academic junior doctor,
  2. Salem Al-Hamali, consultant endocrine surgeon, surgical director
  1. 1Kettering General Hospital, Kettering NN16 8UZ, UK
  1. Correspondence to: A S Bates anthony.simon.bates{at}

A 69 year old man presented with severe dyspnoea. After respiratory arrest and emergency intubation, computed tomography of the neck was performed (fig 1). What is the diagnosis based on the results of computed tomography?


The diagnosis is compressive cervical goitre.


A 69 year old man presented to the emergency department with severe dyspnoea. His medical history included adult …

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