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Year : 2013  |  Volume : 30  |  Issue : 2  |  Page : 161-163  

Progressive dyspnea with a classic radiological sign

Department of Radiodiagnosis, Tata Memorial Hospital, Mumbai, India

Date of Web Publication11-Apr-2013

Correspondence Address:
Amar Udare
Department of Radiodiagnosis, Tata Memorial Hospital, Parel, Mumbai - 400 012
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-2113.110432

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How to cite this article:
Udare A. Progressive dyspnea with a classic radiological sign. Lung India 2013;30:161-3

How to cite this URL:
Udare A. Progressive dyspnea with a classic radiological sign. Lung India [serial online] 2013 [cited 2020 Jun 4];30:161-3. Available from: http://www.lungindia.com/text.asp?2013/30/2/161/110432

A 76-year-old gentleman presented to the outpatient department with chief complaints of dyspnea on exertion and chronic cough since the past few months. On examination, there was shift of the trachea to the right and percussion yielded dull notes over the right supraclavicular area, upper two intercostal spaces anteriorly and the superior aspect of the interscapular region on the right side. The left-sided percussion was unremarkable. On auscultation, breath sounds were decreased in the region of the right upper lobe. A chest radiograph was ordered [Figure 1]a.
Figure 1:

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   Questions Top

Q1: What is the classic radiological sign seen in the plain radiograph?
Q2: What is the cause of this typical radiological appearance?
Q3: What is the most common cause of this sign?

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   References Top

1.Rubens M, Padley S. Diseases of the airways: Collapse and consolidation. In: Sutton D. editor. Textbook of Radiology and Imaging. 7 th ed. London, England: Churchill Livingstone; 2003. p. 175-9.  Back to cited text no. 1
2.Algýn O, Gökalp G, Topal U. Signs in chest imaging. Diagn Interv Radiol 2011;17:18-29.  Back to cited text no. 2
3.Golden R. The effect of bronchostenosis upon the roentgen-ray shadows in carcinoma of the bronchus. AJR Am J Roentgenol 1925;13:21-30.  Back to cited text no. 3
4.Gupta P. The Golden S sign. Radiology 2004;233:790-1.  Back to cited text no. 4
5.Armstrong P. Neoplasms of the lungs, airways, and pleura. In: Armstrong P, Wilson AG, Dee P, Hansen DM. editors. Imaging of Diseases of the Chest. 3 rd ed. London, England: Harcourt; 2000. p. 305-38.  Back to cited text no. 5
6.Assouad J, Petkova B, Berna P, Dujon A, Foucault C, Riquet M. Renal cell carcinoma lung metastases surgery: Pathologic findings and prognostic factors. Ann Thorac Surg 2007;84:1114-20.  Back to cited text no. 6


  [Figure 1], [Figure 2], [Figure 3], [Figure 4]


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