Golden "S" sign:
The patient below presented with a cough. CXR demonstrated a collapsed right upper lobe with a convex bulge along the lower aspect of the collapsed lung (white arrows) producing a "Golden 'S' sign". This finding is concerning for a central mass lesion. |
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CT imaging confirmed a right upper lobe collapse with a central mass (white arrow). The lesion was hot on PET imaging (black arrow) and there was also uptake within pathologic mediastinal lymph nodes. The lesion proved to be a non-small cell lung cancer. |
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