Upon performing egophony over a patient's anterior chest as he repeats the sound "ee," you clearly hear the sound "ay," spoken with a nasal quality.This finding most likely indicates

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The spoken voice can be auscultated over the chest wall just as it can be felt in tactile fremitus.Ask the patient to repeat a phrase while you listen over the chest wall.The normal finding when performing tests for bronchophony,egophony,and whispered pectoriloquy is a soft,unclear,and muffled sound.You can hear sound through the stethoscope but cannot distinguish exactly what is being said.Pathology that increases lung density enhances transmission of voice sounds.Over areas of consolidation or compression as in pneumonia,the spoken "ee" sound changes to a bleating long "ay" sound.Air conducts sound poorly.Therefore,air-filled lungs,such as in pneumothorax or asthma,will produce absent voice sounds.

Upon Performing Egophony Over a Patient's Anterior Chest as He