Matrix Science Medica (MSM)

Incidental radiological findings have been often noted in routinepractice in all specialties. Many of them relate to specific specialty, but in rare instances, unusual radiological signs may also be seen in different specialty clinics which then follow appropriate referral of the case. It is not unlikely to witness incidental radiology findings in orthopedics, the discipline that heavily prescribes and depends on radiological investigations. A 43‑year‑old male patient presented to us with left side shoulder region injury 3 weeks ago which was painful despite no appreciable functional limitation. There were history of dyspnea on exertion and history of old untreated goiter. The lower border of goiter was not palpable even on deglutition, thus suggesting retrosternal extension. The radiograph of the shoulder and chest region was done which revealed a uniting middle third clavicle fracture. There was a radiopaque mass lesion noted in the neck region which on careful observation was pushing the trachea to the right side. The tracheal narrowing was evident and the mass had intrathoracic extension. On a clinicoradiological basis, a provisional diagnosis of retrosternal goiter with scabbard trachea was made, and the case was referred to the respiratory medicine department for further evaluation.