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Golden ‘S’ sign
  1. Moti Lal Bunkar1,
  2. Rajendra Takhar1,
  3. Savita Arya2,
  4. Rakesh Biswas3
  1. 1Department of Respiratory Medicine, Government Medical College, Kota, Rajasthan, India
  2. 2Government Medical College, Kota, Rajasthan, India
  3. 3Department of Medicine, LN Medical College and Research Centre, Bhopal, Madhya Pradesh, India
  1. Correspondence to Professor Rakesh Biswas, rakesh7biswas{at}

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A 50-year-old woman presented with a 3-month history of intermittent right-sided chest pain and haemoptysis. She did not have a cough, wheeze or dyspnoea and there was no history of fever, anorexia or weight loss. Skiagram chest posteroanterior view showed triangular opacity in the right upper zone along with elongated opacity along the right paratracheal area (figure 1).

Figure 1

Chest X-ray posteroanterior view shows two different opacities, one is triangular shaped and in the right upper zone, while the other is elongated and along the right paratracheal area.

Contrast-enhanced CT (CECT) of the thorax showed right upper lobe collapse along with the abrupt cutting of right upper lobe …

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  • Contributors MLB and RT contributed to the conception of the image quiz, and the acquisition and analysis of material. SA and RB were involved in analysis and interpretation of material for the work. All the authors were involved in drafting the report and revising it critically before final submission for publication.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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