IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Golden S sign

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Blood stained cough.

Patient Data

Age: Adult
Gender: Male

Chest x-ray

x-ray

Chest x-ray demonstrates increased density in the right upper medial hemithorax with loss of volume, and shift of the trachea to the right. A mass is present at the right hilum. 

Golden S sign

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. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.