In radiology, the Golden S sign, also known as the S sign of Golden, is a radiologic sign seen on chest X-ray that suggests a central lung mass or a lung collapse.[1] It was first described by, and subsequently named after, Dr Ross Golden (1889–1975) in 1925 in association with bronchial carcinoma,[2] but it is also seen in metastatic cancer, enlarged lymph nodes, and collapse of the right upper lobe of the lung.[1]
| Golden S sign | |
|---|---|
| Differential diagnosis | lung mass, lung collapse |
Appearance
editThe Golden S sign can be seen on plain radiographs as well as on computed tomography (CT) scans of the chest.[1][3] The sign is seen in the right lung as a distorted minor fissure, whose lateral aspect is concave inferiorly and whose medial aspect is convex inferiorly.[1] This produces a "reverse S" appearance, responsible for the sign being occasionally called the reverse S sign of Golden.[1]
References
edit- ^ a b c d e Gupta P (December 2004). "The Golden S sign". Radiology. 233 (3): 790–1. doi:10.1148/radiol.2333021407. PMID 15564409.
- ^ Golden R (1925). "The effect of bronchostenosis upon the roentgen ray shadow in carcinoma of the bronchus". Am J Roentgenol. 13 (21).
- ^ Reinig JW, Ross P (July 1984). "Computed tomography appearance of Golden's "S" sign". J Comput Tomogr. 8 (3): 219–23. doi:10.1016/0149-936X(84)90065-1. PMID 6744924.