Diminished breath sounds and tuberculous pleuritis
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Abnormal breathing sounds differs in quality from the normal hollow, rustling sound that is heard as air passes through the large airways like the pharynx, larynx and trachea (bronchial breathing) and resonates in the bronchial tree and lungs. Abnormal sounds may resemble a musical wind instrument or be more rough in quality like a grating noise. Some conditions may cause crackling, creaking, bubbling or even clicking breathing sounds. Identifying the type of abnormal breath sound is important to assist with a diagnosis. More than one type of abnormal sound may be present at the same time. Since the causes may overlap, other criteria as well as further diagnostic testing may be necessary for a final diagnosis.

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