Fig. 5

A 22-year-old female in immediate postpartum period presented with difficulty in breathing and neck swelling. On clinical evaluation, patient had left UVCP with retrosternal extension of the thyroid swelling. Patient suffered cardiac insufficiency, and post-mortem histopathology of the thyroid swelling revealed lymphoma. a Clinical picture and b CT of laryngeal region indicate features of left vocal cord palsy which are medialisation and thickening of aryepiglottic fold, anteromedial deviation of arytenoid cartilage. The presence of enlarged left lobe of thyroid with erosion of the thyroid cartilage is seen. c and d CT scan of the neck and thorax reveals retrosternal extension with airway compromise