Golden S sign

Case contributed by A.Prof Frank Gaillard


Blood stained cough.

Patient Data

Age: Adult
Gender: Male

Chest 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

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
Published: 21st Aug 2010
Last edited: 13th Aug 2019
System: Chest
Tag: cxr
Inclusion in quiz mode: Included

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