At 15:32 25/02/2010, you wrote:
VMA and TFTs both sound like good suggestions.
TFTs showed a high T4 (twice upper limit of normal), marginally
raised T3, and suppressed TSH.
The TFTs were actually done before the CXR, but the radiologist who
looked at the CXR apparently asked if they'd been done. There was no
obvious goitre either visible or palpable, nor any evidence from the
CXR to suspect retrosternal goitre.
However, any suggestions about further investigation, management,
diagnosis and prognosis?
Julian
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