Difference between Physical Reads and Read-Ahead Reads
A query always reads data from memory (a logical read). Your example query scanning the TestLarge table touched 159,185 8KB memory pages during its execution.
During execution, SQL Server does two things.
1. It reads data from the pages that belong to the table.
If the required page is already in memory, a logical read is recorded.
If the required page is not in memory, a physical read is recorded.

The page is brought into memory from persistent storage.
The query is blocked until this read completes.
This happened 348 times to your test query.
A logical read is also counted when SQL Server processes the page (that is now in memory) to satisfy your query.

2. It issues read-ahead reads.
Every so often during the scanning operation, SQL Server spends a moment managing read-ahead:

SQL Server gathers a list of 8KB pages that may well be encountered by the current operation in the near future. You can think of this as the engine &quot;looking ahead&quot; of the current scan position for the pages that come next. It achieves using IAM (allocation map) pages or b-tree levels above the leaf, depending on the type of scan.
Any pages on this &quot;look-ahead&quot; list that are not already in memory are passed to the operating system in one or more asynchronous read requests. These are counted as read-ahead reads.
The operating system handles reading the pages into SQL Server memory, and notifies SQL Server when the reads are complete.
The SQL Server thread that issued the asynchronous reads is not blocked. It can continue scanning pages that are in memory while the operating system fetches read-ahead pages in the background, on a separate thread.
Your test query read 159,209 pages into memory via the read-ahead mechanism.

An analogy
Imagine there is a book. You are given the index only. The rest of the book is in the local library. The library has a rule that the whole book cannot be checked out, and only 50 pages at most can be taken from the library at each visit.
Your task is to assemble the book at home in the order pages are referenced in the index (a to z). You are not allowed to leave home, but you have a friend that can go to the library on your behalf.
The first entry in the index is for &quot;aardvark&quot;, which appears on page 392 of the book.
You realize it will be very inefficient to do this task a page at a time, so instead of sending your friend to the library for page 392, you read 50 entries in index order, and give your friend that list of pages to take to the library. You count 50 read-ahead reads at this point.
Now you turn back to processing &quot;aardvark&quot;. You don't have page 392 in front of you, so you have to wait, doing nothing, until your friend gets back. This is a physical read.
When your friend arrives you count a logical read when you process page 392.
You could start on the other 49 pages your friend brought back (counting a logical read for each one), but you realize it will be more efficient if you give your friend another list of pages to fetch from the library while you are busy with the work in front of you.
Each time you send your friend to the library with a list of pages to fetch, you count read-ahead reads. Each time you process a page in front of you, you count a logical read. If you find yourself without the next page you need (because your friend is too slow), you count a physical read.
The overall task completes quicker when you and your friend can overlap your activities effectively. They can be busy fetching pages you will need soon, while you are busy processing the pages you have in front of you. When this works well, you never have to wait for the next page you need, though you do spend a little time telling your friend what to do.