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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. It was first described by, and subsequently named after, Dr Ross Golden (1889–1975) in 1925 in association with bronchial carcinoma, but it is also seen in metastatic cancer, enlarged lymph nodes, and collapse of the right upper lobe of the lung.

Appearance

The Golden S sign can be seen on plain radiographs as well as on computed tomography (CT) scans of the chest. 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. This produces a "reverse S" appearance, responsible for the sign being occasionally called the reverse S sign of Golden.

References

1. ^ Gupta P (December 2004). "The Golden S sign". Radiology. 233 (3): 790–1. doi:10.1148/radiol.2333021407. PMID 15564409.
2. Golden R (1925). "The effect of bronchostenosis upon the roentgen ray shadow in carcinoma of the bronchus". Am J Roentgenol. 13 (21).
3. 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.

• Radiologic signs