We read with interest the article by Montuori et al. evaluating the role of lung ultrasonography (LUS) in pulmonary tuberculosis (PTB). Authors conclude that “chest ultrasonography may be a promising tool to support clinical, radiological and microbiological data in the diagnosis of PTB, a high burden pathological condition for which the delay in diagnosis represents a critical point in the control of the disease” [1]. We would like to express some methodological and technical considerations.