Cardiothoracic imaging is a specialty in radiology, often closely partnering with cardiovascular and body imaging. Most institutions have converted their thoracic into cardiothoracic imaging fellowship in the last 20 years. Due to the lack of CAQ accreditation, the structure of these fellowships varies, allowing opportunities to enhance them. Cardiothoracic imaging divisions may offer imaging services in partnership with cardiology and other radiology groups with variable workflow patterns. The fellowship curriculum is extensive and, at the same time, practical. The Society of Thoracic Radiology and its website are excellent resources for trainees and faculty.