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Support the channel on Patreon: patreon.com/drsamsimaginglibrary Chest X-Ray Lungs Normal Vs Pneumonia Image Appearances Comparison | Consolidation, Air Bronchograms Consolidation: Radiopaque (bright) area in the lung Air Bronchograms: When the surrounding alveoli fill with fluid, infection, or inflammatory material (such as in pneumonia, pulmonary edema, or certain lung cancers), the alveolar spaces become more radiopaque (whiter), while the bronchi, still filled with air, remain radiolucent (darker). This contrast creates the air bronchogram appearance. Increased Bronchovascular Markings: Appear more pronounced and extend towards the periphery, sometimes indicating increased blood flow, inflammation, or fluid buildup. Silhouette Sign: Normal borders between anatomical structures of different densities (such as air-filled lungs and the heart, diaphragm, or blood vessels) are obscured. Any consolidation or opacity in the lungs adjacent to these structures eliminates the contrast, making the border between them indistinct. Spine Sign: Increased opacity of vertebral bodies Reticular opacities: The opacities form a mesh or network of thin lines, which can appear as linear, curvilinear, or branching lines. Ground-Glass Opacities (GGO): Often, reticular opacities may be accompanied by or overlap with ground-glass opacities, giving the lungs a hazy appearance without complete loss of visibility of lung structures (bronchi and vessels).