Presentation
Blood stained cough.
Patient Data
Age: Adult
Gender: Male
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Info
Chest x-ray demonstrates increased density in the right upper medial hemithorax with loss of volume, and shift of the trachea to the right. A mass is present at the right hilum.
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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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