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Radiology Imaging of Lung Nodules and Masses 069dcb39

Golden S sign is seen in:

A
Bronchogenic carcinoma with collapse of lung
B
Traction Bronchiectasis with apical scarring
C
Emphysema with increased lucency and flattened diagphragm
D
Pulmonary edema
High-Yield Explanation
Ans. (a) Bronchogenic carcinoma with collapse of lung* The Golden S sign (reverse S sign of Golden.) is seen in PA chest radiographs with right upper lobe collapse.* It is caused by a central mass obstructing the upper lobe bronchus and should raise suspicion of a primary bronchogenic carcinoma.* The right upper lobe appears dense and shifts medially and upwards with a central mass expanding the hilum. The combination of two changes together form a reverse S shane.

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