A CT scan may show bibasilar pneumonia due to its higher sensitivity and ability to detect subtle changes in lung tissue that a chest X-ray might miss. In some cases, pneumonia may be in its early stages or localized, which could appear normal on an X-ray due to its limited resolution. Additionally, differences in positioning during imaging or variations in fluid levels can also affect the visibility of pneumonia on X-rays. Lastly, a chest X-ray may not capture certain lung areas well, particularly the bases where bibasilar pneumonia is usually present.
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