
SonoRAY Mythbusters: Pneumothorax
Lung PoCUS is a powerful bedside tool for pneumothorax detection. With proper technique, it can identify key signs such as absent lung sliding and the barcode sign—often outperforming chest X-ray.
MYTH: Lung ultrasound can’t reliably detect pneumothorax.
REALITY: Lung PoCUS is more sensitive than CXR for pneumothorax detection.
- Absence of lung sliding
- Barcode (stratosphere) sign
→ Highly specific findings for pneumothorax when used correctly
Technique matters:
Scan the most anterior chest, look for lung sliding, B-lines, lung pulse — and confirm lung point when present (in stable patients).
Clinical takeaway:
Lung PoCUS should be a first-line tool in suspected pneumothorax — especially in trauma and critically ill patients.
About the Author
Written by SonoRAY Inc (@admin)
