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In this week's edition of Royters Goiters, we'll take you behind the scenes to learn about a patient with an asymptomatic substernal goiter. This gentleman came into the ER with what he thought was a broken rib, but his scans revealed a substernal goiter extending significantly into his chest. He had no bulge in his neck, no trouble breathing, no difficulty swallowing and no changes in voice. Luckily, this patient did not need a total thyroidectomy. I did a right thyroid lobectomy and was able to save the left side of his thyroid gland, so now he will not need to take any thyroid hormone supplements. Watch the full video to learn more. If you are in need of an expert thyroid surgeon, fill out the form at this link to become our patient: https://bit.ly/3mWIizD 00:01 Introduction to asymptomatic substernal goiter 00:28 Patient symptoms and physical exam 00:57 CT scan findings of goiter size 01:30 Goiter's effect on trachea and lungs 02:01 Surgical removal and specimen 02:32 Why the goiter was asymptomatic 03:00 Partial thyroid removal and outcome