The diagnostic accuracy of LUS for pneumothorax is superior to chest radiograph and has been validated as an accurate modality for diagnosing iatrogenic pneumothorax following invasive procedures in the chest.2-4 One could argue that a pneumothorax could have been ruled out using only the assessment of the anterior surface of the chest, but a study conducted in a patient population comprising patients with a variety of chronic pulmonary diseases found that the sensitivity of LUS for diagnosing pneumothorax was lower than what has been reported in studies comprising patients in which the prevalence of chronic pulmonary diseases are low (eg, trauma).4,5 The assessment of the puncture site also revealed signs of localized pathology in the form of multiple B lines. Following the exclusion of pneumothorax, the next important complication to diagnose would be hemothorax. The area subsequently assessed thus corresponded to the lower, posterolateral area of the right lung. The findings are demonstrated in the third clip of Video 2. In this clip, from the right posterolateral chest surface, no pleural effusion was present and hemothorax was ruled out. As an incidental finding in the lower posterolateral area of the right lung, a hyperechoic area of consolidated lung tissue could be visualized (marked LC). The high echogenicity of the area obscured the possible visualization of any air bronchograms. Since lung consolidation was absent in this area on the chest CT scan and radiograph performed after the lung biopsy, the consolidation of the lung tissue in this area had occurred following the biopsy. The consolidation appears more hyperechogenic than the underlying liver tissue (marked Lvr), which can be visualized below the diaphragm; the appearance did not correspond to the typical sonomorphologic patterns in other causes of acutely developed lung consolidations (eg, pneumonia, pulmonary embolism). The visualized lung parenchymal pathology was, thus, believed to represent an acute condition in which a fluid had caused a hyperechoic lung consolidation, which was suspected as representing intrapulmonary hemorrhage.