February 2012 Imaging Case of the Month

Michael B. Gotway, MD

Associate Editor Imaging

Clinical History

A 70-year-old woman with no significant past medical history presented with progressive shortness of breath. A chest radiograph (Figure 1A) was obtained. Figure 1B is a frontal chest radiograph obtained 2 years earlier, presented for comparison.

Figure 1A: Frontal chest radiograph. Figure 1B: Frontal chest radiograph obtained 2 years prior to Figure 1A.

What radiological sign is present?

1. The “silhouette sign”
2. “Golden’s S” sign
3. The “dense hilum” sign
4. The “cervicothoracic” sign
5. The “scimitar” sign

Reference as: Gotway MB. February 2012 imaging case of the month. Southwest J Pulm Crit Care 2012;4:33-9. (Click here for a PDF version of the case)