Golden S sign

Case contributed by Yaïr Glick , 9 Apr 2017
Diagnosis certain
Changed by Ian Bickle, 10 Apr 2017

Updates to Study Attributes

Findings was changed:

Golden S sign of the right upper lobe (RUL) - right hilar mass with collapsed RUL.

Updates to Study Attributes

Findings was changed:

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 pneumobiliaSplenomegaly, a bit more pronounced than on previous scan.

Updates to Study Attributes

Findings was changed:

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

Body was changed:

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>

Tags changed:

  • frcr-viva

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