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Abstract Pneumonia remains the leading infectious cause of death among children under five, killing 2,500 children a day. Early intervention and prompt treatment of acute respiratory infection and pneumonia are the easiest way to prevent death. Despite a long-held belief that physical examination findings and proper auscultation are sufficient to rule in or out the presence of pneumonia, multiple pressures in clinical practice have driven increased use of chest radiography and occasionally CT. During the last 10 years, ultrasound has been shown to be highly effective in evaluating a range of pathologic pulmonary conditions. The most widely studied and practiced applications are the evaluation of pneumonia and pleural effusion with ultrasound. The present cross sectional study was designed to assess lung ultrasonography as a diagnostic tool in diagnosis of children with Pneumonia attended Paediatric Emergency Department, Children’s hospital, Ain Shams university hospitals, during the period between October 2015 and march 2016, compared to the diagnosis with chest X rays. This study included 60 children presenting with fever and respiratory distress. Forty five patients clinically diagnosed with pneumonia, their ages ranged from 12 months to 5 years with mean age 24.11 ± 9.42 (SD) months. Males were 64.4 % while females were 35.6% with male to female ratio 1.8:1. Fifteen patients were collected according to inclusion criteria but not diagnosed clinically as pneumonic patients (non pneumonia group), they were in age and sex matching with the pneumonia cases. Keywords: Study of Lung Ultrasonography, Childhood Pneumonia, Quick and Safe Alternative Tool, a group of Egyptian Children |