Respiratory conditions have distinct findings on examination including breath sounds, percussion notes, vocal resonance, chest wall movement, chest shape, and common x-ray appearances. For example, COPD/emphysema patients often have rhonchi, prolonged expiration, hyper resonant percussion, diminished chest wall movement, a barrel chest shape, and x-ray findings of hyperlucency and low flat diaphragms. Pleural effusions present with pleural friction rubs, stony dull percussion, egophony, decreased chest wall movement, and x-ray findings such as obliteration of the costophrenic angle. Pulmonary tuberculosis typically appears on x-ray as classical coin shaped lesions with speculated, irregular edges suggesting