Small cell lung cancer

Case contributed by A.Prof Frank Gaillard


Elderly male patient presenting with weight loss.


CXR demonstrates a large opacity in the right upper zone consistent with collapse of the right upper lobe secondary to a hilar mass. Note the hyperlucency of the hyperexpanded right lower and middle lobe, and elevation of the right hemidiaphragm, either due to volume loss or less likely phrenic nerve paralysis

Although not particularly S shaped, the collapse of the right upper lobe and a hilar mass are the components of the Golden's S sign

Case Discussion

This patient went on to have cross sectional imaging (not shown) and a biopsy which confirmed small cell lung cancer

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Case information

rID: 10494
Published: 17th Aug 2010
Last edited: 30th Jan 2017
System: Chest, Oncology
Inclusion in quiz mode: Included

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