Goitre presenting as an oropharyngeal mass: an unusual finding in the elderly

Thyroid goitre presentation in the neck with extension inferiorly to the me diastinum is well-known. Extension superiorly into the retropharyngeal spac e is very rare and may be accompanied by change in voice and/or airway comp romise. A case is described of a patient with change in voice and mild airway compr omise secondary to a goitre presenting in the oropharynx. Computed tomograp hy (C) and physical findings are discussed with the need to recognize this rare entity.