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Golden S sign – radiology video tutorial (x-ray)

Golden S sign – radiology video tutorial (x-ray)

Hi there i’m doctor andrew dixon from and in this video we are going to look at the Golden S sign which can be
seen on chest radiographs when there is right upper lobe collapse due to an obstructing hilar region mass instead of having a straight line the
margin of the collapsed lobe forms an S shape or more correctly it forms a back to front S shape which is why many people often refer to this as the
reverse S sign of Golden as the right upper lobe collapses it moves medially and towards the superior
mediastinum but due to the presence of the hilar region mass the lower
margin of collapsed portion bulges out forming the distinctive reverse S shape. The most
common cause of the S sign of Golden is of course primary lung cancer however it
can occasionally be caused by lymph node enlargement or due to metastases and
as such the S sign of Golden is a sinister chest xray abnormality and should always prompt
further evaluation with a chest CT and yes for those who are wondering this
patient has had quite an ectatic thoracic aorta which is probably a sign of
their old age and down here in the right lower zone and across the other side in the left lower zone there are nipple shadows so there you have it, the S sign of
Golden, right upper lobe collapse due to an obstructing central mass you can find out more on the website

11 comments on “Golden S sign – radiology video tutorial (x-ray)

  1. Preparing for board exams, studying from Brant – Helms "Fundamentals of Diagnostic Radiology" , your site has offered invaluable assistance. Greetings from Greece

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