US Lung Scan technique A standard (3.0-MHz) echocardiography probe can be used for this purpose. Examinations should be performed in the supine position. To detect lung water, both sides of the chest should be scanned both in the anterior and lateral part from the second to the fourth (on the right side to the fifth) intercostals spaces, at parasternal, mid clavea, anterio-axillar and mid-axillary lines, as previously described (Am J Cardiol 2004;93:1265-70). An US-B line is a hyperechoic, coherent US bundle at narrow basis going from the pleura to the limit of the screen. These extended lines (also called comets) arise from the pleural line and should be differentiated from short comets' artifacts that may exist in other regions. US-B lines starting from the pleural line can be either localized or scattered to the whole lung and be present either as isolated US-B lines or in groups (with a distance >7 mm between 2 extended comets). The sum of US-B lines produces a score reflecting the extent of LW accumulation. If you do not detect any US-B line, the score is 0.