Pneumonia! With dynamic air bronchograms, lung hepatization, and multiple B-lines 40ish yo M presents with AMS and respiratory failure. Diminished breath sounds on the R lung base. Dynamic air bronchograms are the visualization of air movement (the sparkle) within the bronchi. It suggests pneumonia over atelectasis. - Dr. Christopher Kumetz @ChrisKumetz #Pneumonia #Dynamic #AirBronchograms #Clinical #POCUS #Lung #Ultrasound #Hepatization