The development of investigations in cardiology started with X-Ray Chest (1895) and then ECG (1901). This is apart from clinical assessment of the said case. There was a time, after these two investigations, cardiac catheterization and Cine angiography were used until such time the noninvasive echocardiography comes to the center stage of cardiac investigation with the further development of TEE and stress ECHO and so on. For every investigation, there is always some role play in the diagnosis of a disease or group of diseases.

Unfortunately, nowadays most of the cardiologists believe that there is no need for taking X-Ray chest in a case of the cardiac complaint. The important information which can be derived out of taking X-Ray chest before taking echo is not well understood in Indian context nowadays is the observation made by me as a diagnostic cardiologist. The following…