In medicine, the Golden S sign is a sign seen on imaging of the chest that suggests a central lung mass or lung collapse.[1] It was first described by 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]
Dr. Golden became the first professor of radiology when he joined Columbia Presbyterian Medical Center in 1922. It was there that he became the first chairman of the Department of Radiology until his retirement in 1954. He then became the visiting professor of radiology at UCLA Medical, 1954–1975. Dr. Golden is considered a pioneer in the field of Diagnostic Radiology when it was in its infancy, and was the author of many books, journals and periodicals on the subject. He was (twice) president of the Roentgen Ray Society as well as a trustee of the New York Academy of Medicine, and chairman of Radiological Services for the American Medical Association. Among his many honors and accolades, he was honored by President Nehru of India in 1956 for his assistance in improving radiological services throughout that country.
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Golden S sign - radiology video tutorial (x-ray)
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Transcription
Hi there i'm doctor andrew dixon from radiopaedia.org 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 radiopaedia.org website
Appearance
The 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
- ^ 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.
This page was last edited on 9 May 2021, at 07:59