Golden S sign

Case contributed by A.Prof Frank Gaillard

Presentation

Blood stained cough.

Patient Data

Age: Adult
Gender: Male

Chest x-ray

Modality: X-ray

Chest x-ray demonstrates increased density in the upper medial hemithorax with loss of volume, and shift of the trachea to the right. A mass is present at the right hilum. 

Annotated image

Modality: Annotated image

Right hilar mass (orange) obstructing the right upper lobe bronchus results in collapse of the right upper lobe (green arrow). This results in a reverse S shape to the pleural edge. 

Case Discussion

This case demonstrates the typical appearances of a reverse S sign of Golden (aka Golden S sign). This patient had a primary bronchogenic carcinoma at the hilum. 

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Case Information

rID: 10552
Case created: 21st Aug 2010
Last edited: 18th Nov 2015
System: Chest
Tag: cxr
Inclusion in quiz mode: Included

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