Golden S sign

1. GOLDEN S SIGN
BY- DR BHAVANA K

2. When was it first described?
 It was first described by Golden Ross.
 In an article called “Effect of bronchostenosis
upon the roentgen ray shadow in carcinoma
bronchus” 1925 AJR.

3. What is this sign?
Also called as Reverse S of Golden.

4. Why does this sign occur?
 First described in right upper lobe collapse usually due
to a proximal mass.
 The minor fissure is displaced superiorly and is concave
peripherally but convex centrally, and the shape of the
fissure resembles an S or a reverse S .

5. It can be seen in
other lobes as well.

6. What does the sign signify?
PRIMARY BRONCHIAL CARCINOMA should be
suspected in any adult patient with golden S
sign.
Other causes:
• Primary mediastinal tumour.
• Metastasis
• Enlarged lymph nodes
The sign may be useful for distinguishing a
central obstructing mass from a consolidative
process such as bacterial pneumonia.

7. Bronchogenic carcinoma cannot be diagnosed
definitively on the basis of this radiographic sign,
but the Golden S sign should alert the radiologist to
consider this sinister diagnosis.

8. THANK YOU