Digital tomosynthesis is a technique that generates an arbitrary number of section images of a patient from a single pass of the x-ray tube. It is under investigation for application to a number of clinical detection tasks, and has recently been implemented in commercial devices for chest radiography. Tomosynthesis provides improved visibility of structures in the chest, such as pulmonary nodules, airways, and spine. This review article outlines the components of a typical tomosynthesis system, and presents examples of improved pulmonary nodule detection from a clinical trial in human subjects. Possible implementation strategies for use in chest imaging are discussed.