This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
A patient on examination showed bronchial breathing and increased vocal resonance in the middle over the back just below the level of 4th thoracic veebra. This is called: 
Select and explain. 
A. Ewas sign, B. D'Espine sign, C. Hamman's sign, D. Hoffmann's sign
B: D'Espine sign
Answer: B: D'Espine sign 
Explanation: D'Espine sign is the presence of bronchial breath sounds with increased vocal resonance in the midline over the back below the level of T4 veebra. It is seen in case of mediastinal mass. Also know: Hammans sign - is seen in children with mediastinal emphysema. Ewas sign- is bronchial breathing and bronchophony over the left lower interscapular area. It is seen in patients with pericardial effusion which compresses on the left main bronchus resulting in collapse of the lung. Ref: Meharban Singh, Edition 3, Page 169.