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Lung ultrasound is a valuable tool in patient evaluation, offering real-time insights at the bedside. While performing the exam is generally straightforward, interpreting the findings and understanding their clinical implications can be complex. Subtle nuances often influence what is seen on ultrasound, and similar patterns may represent a wide range of pathologies. In this case, we highlight an important point: not all B-lines indicate cardiogenic pulmonary edema—they may, in fact, reflect alternative diagnoses that require careful consideration. Author: Jared T Marx MD https://www.unmc.edu/emergency/facult... Peer Reviewed by: Cody Bonk MD https://www.unmc.edu/emergency/facult... Disclaimer: The content presented in these videos is intended solely for informational and educational purposes and does not constitute medical advice. It is not a substitute for professional medical evaluation, diagnosis, or treatment, and no doctor-patient relationship is established through viewing this material. Always seek the guidance of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition. The information shared reflects the opinions of the author(s) and is meant to support, not replace, formal medical training. While every effort has been made to ensure the content is accurate, current, and evidence-based, it does not represent a universal standard of care. Clinical practices may vary by region, institution, and patient context. Therefore, this content should be used as a supplementary educational tool alongside other trusted medical resources and sound clinical judgment.