Parasagittal view of ribs for thoracic neuraxial ultrasound

Position the ultrasound transducer in a parasagittal orientation 5 cm lateral to the midline to identify the 12th rib, then count cephalad to the desired interspace. The shimmering hyperechoic pleura is seen between the ribs. For further detail refer to UpToDate content on neuraxial ultrasound for anesthesia.