We enrolled 58 cardiomyopathic patients and 20 normal individuals admitted to Dar Al-Fouad hospital complaining of NYHA class III-IV, with evidence of pulmonary congestion. All patients underwent lung ultrasound. A comparison of the LUS results was done to 20 COPD patients with no history of cardiac disease. The mean age of control was 33.80; the mean age of patients was 54.03.The mean ejection fraction in the control group is 61.40, with the lowest ejection fraction 58%. The mean ejection fraction in the subject group 40.72, with the lowest ejection fraction 22% A statistical difference in lung ultrasound B lines total count (Sum) was found between the control and subjects. The mean number of B lines in the control group is 1.9, with the lowest and highest count 0 and 4 respectively. The mean number of B lines in the subject group is 54.95 with the lowest and highest count 13 and 130 respectively. The number of B-lines correlated well with E/e’ value with a positive correlation coefficient (r=0.837 p<0.0001) and a positive linear curve, which indicates its usefulness in diagnosing hemodynamic and pulmonary congestion. The number of B-lines correlated well with NT-proBNP >2000 pg/mL for congestion with a positive correlation coefficient (r=0.638, p<0.0001) and a positive linear curve, which indicates its usefulness in diagnosing pulmonary congestion. When compared to results of COPD patients, the difference was significant with ease of differentiation using lung ultrasound.