We read with great interest the study by Loutradis et al1 demonstrating the favorable effect of lung ultrasound–guided dry weight reduction on echocardiographic parameters in hemodialysis patients. Despite the limitations pointed out in the accompanying editorial,2 it is undeniable that lung ultrasound has the potential to become standard of care in managing these patients. Current evidence suggests that dialysis patients with higher B-line scores on lung ultrasound are at increased risk for death, even if they are asymptomatic.