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Small-cell lung cancer - right upper lobe collapse

Case contributed by Assoc Prof Frank Gaillard


Substantial unintentional weight loss

Patient Data

Age: 80 years
Gender: Male

Chest radiographs

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. Juxtaphrenic peak sign also present.

Although not particularly S shaped, the collapse of the right upper lobe and a hilar mass are the components of 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: 21st Nov 2019
System: Chest, Oncology
Inclusion in quiz mode: Included

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