d'Espine sign is a bronchial breathing heard over the vertebral spines (on the back) below the level of tracheal bifurcation; below the fourth thoracic spine in adults if there is subcarinal (mediastinal) lymphadenopathy.[1][2][3]
It is named for Swiss paediatrician Jean-Henri-Adolphe d'Espine (1846-1930).
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