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An individual with severe pneumonia usually looks severely affected, pale, has increased breathing frequency (tachypnea) and increased heart rate (tachycardia).

During percussion of the lungs, a doctor can hear decreased sounds over the affected part of the lungs.

During auscultation (listening of the lungs by the stethoscope), a doctor can usually hear:

• Decreased breathing sounds
• Crackling sounds
• NOTE: in walking pneumonia, auscultation can be normal

An X-ray shows scattered or dense white shadows in one or both lung wings.