NPPB and pulmonary vascular congestion: Pulmonary ultrasound has shown better accuracy than physical examination and lungX-ray for the diagnosis of pulmonary congestion, even when performed by physicianslacking training in the method or physicians other than radiologists.16,17 This method adds value toneuropeptides [brain natriuretic peptide (BNP) and NTpro-BNP] for thediagnosis,18 prognosis andtreatment of patients with decompensated HF.