Although we applaud the effort by Koenig and colleagues1 presented in a recent issue of CHEST (April 2014) to transmit the message that point-of-care ultrasonography may help to avoid unnecessary CT pulmonary angiography (CTPA) in patients with suspected pulmonary embolism (PE), we wish to raise a few concerns regarding the study. We believe the fact that only 12 patients (12.5%) undergoing a CPTA had a PE diagnosed reflects poor clinical decision-making. There was no mention in the article about either the Wells score or revised Geneva score in this cohort, which may have helped us to understand the real need for a CTPA in these patients. As experienced clinicians, we believe that the patterns discovered by the authors on ultrasonography, namely alveolar consolidation, pleural effusion, and pulmonary edema, can be detected by a plain chest radiograph most of the time, and alveolar consolidation and pulmonary edema can be suspected from a proper clinical history and chest examination. The chest radiograph findings are not presented as well.