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In determining the need for tube thoracostomy, the Extended Focused Assessment with Sonography in Trauma (EFAST) displayed a sensitivity of 698%, dramatically surpassing the 400% sensitivity achieved by the Chest X-Ray (CXR). The diagnostic performance of eFAST CUS for pneumothorax identification and thoracostomy tube prediction was superior to CXR at our institution. Nevertheless, neither assessment method exhibits sufficient precision to identify a PTX or forecast the necessity of a thoracostomy tube. Due to