Do you worry that echocardiography has become the only method of imaging to evaluate cardiac patients? Unless you have managed to develop your echo skills, it would be easy to feel left behind. Even for vets with a particular imaging interest, echocardiography can be difficult to learn, even after undertaking practical CPD. Even the best echocardiographers cannot get as much information about the lungs and pulmonary vasculature as we can gain from reviewing a good chest radiograph. In this session, we will review how to get the most information about the heart that we can from thoracic radiographs in dogs and cats, and feature some top tips on how to differentiate cardiac from respiratory disease.