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Radiology · Chest imaging
Sample itemWhat does an air bronchogram within a pulmonary opacity usually indicate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Air-filled bronchi surrounded by alveolar consolidation
An air bronchogram appears when air remains in bronchi but surrounding alveoli are filled with fluid, cells, or exudate, a common pattern in alveolar consolidation such as pneumonia.
Option by option
A. A pleural air collection
Pleural air produces a pneumothorax pattern rather than air bronchograms.
B. Interstitial fluid thickening the interlobular septa
Septal thickening produces an interstitial pattern rather than air-filled bronchi in alveolar opacity.
C. Calcification in a lymph node
Calcified nodes do not create branching air bronchograms.
D. Air-filled bronchi surrounded by alveolar consolidation (correct)
Correct: visible air-filled bronchi within opaque alveoli form an air bronchogram.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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