Golden S sign
Updates to Study Attributes
Golden S sign of the right upper lobe (RUL) - right hilar mass with collapsed RUL.
Updates to Study Attributes
RUL totally collapsed due to obstructed bronchus to RUL, with numerous small air-filled cavities which likely represent bronchiectasis. Cavitation at centerthe centre of the lobe measuring 51 mm across with air-high density fluid level. Moderate
Moderate right hilar and right mediastinal lymphadenopathy.
Calcified right and left coronary arteries (RCA, LMCA, LAD, and several of its diagonals).
Mild hepatomegaly.
Long-standing pneumobilia. Splenomegaly, a bit more pronounced than on previous scan.
Updates to Study Attributes
Erect chest radiograph taken exactly 2 years previously:
There is an irregular focal opacity with indistinct borders in the upper field of the right lung.
No hilar or mediastinal widening.
Updates to Case Attributes
Patient presented with a productive cough and fever. He probably neglected to seek treatment for his malignancy due to psychosocial circumstances.
Labs: No leucocytosis, CRP 127 mg/l.
Cavitation seen at newer chest CT more likely due to exuberant infection rather than cavitary carcinoma, since it exhibits a thin rim.
-<p>Patient presented with a productive cough and fever. He probably neglected to seek treatment for his malignancy due to psychosocial circumstances.<br>Labs: No leucocytosis, CRP 127 mg/l.<br>Cavitation seen at newer chest CT more likely due to <a title="Pneumonia with cavitation" href="/articles/cavitating-pneumonia">exuberant infection</a> rather than <a href="/articles/pulmonary-cavity">cavitary carcinoma</a>, since it exhibits a thin rim.</p>- +<p>Patient presented with a productive cough and fever. He probably neglected to seek treatment for his malignancy due to psychosocial circumstances.</p><p>Labs: No leucocytosis, CRP 127 mg/l.</p><p>Cavitation seen at newer chest CT more likely due to <a href="/articles/cavitating-pneumonia">exuberant infection</a> rather than <a href="/articles/pulmonary-cavity">cavitary carcinoma</a>, since it exhibits a thin rim.</p>
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- frcr-viva