Golden S sign

Case contributed by Assoc Prof Frank Gaillard


Blood stained cough.

Patient Data

Age: Adult
Gender: Male

Chest x-ray

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. 

Annotated image

Golden S sign

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
Published: 21st Aug 2010
Last edited: 29th May 2021
System: Oncology, Chest
Tag: cxr
Inclusion in quiz mode: Included