Question

multiple choice question
the s - sign of golden is classically associated with:
please select your answer...
a pneumonia
b left lower lobe atelectasis
c pulmonary embolism
d right upper lobe collapse due to central mass

Explanation:

The S - sign of Golden is a radiological sign that occurs when a central mass (such as a tumor) causes collapse of the right upper lobe. The superior aspect of the collapsed lobe is pulled upward by the elevated minor fissure, while the central mass causes downward displacement of the lower part of the minor fissure, creating an S - shaped curve. Pneumonia typically shows consolidation on imaging. Left lower lobe atelectasis has different characteristic findings on X - ray (e.g., triangular opacity in the left lower hemithorax). Pulmonary embolism may show areas of oligemia (Westermark sign) or a peripheral wedge - shaped opacity (Hampton's hump) rather than the S - sign.

Answer:

D. Right upper lobe collapse due to central mass