The Cardiothoracic Imaging Fellowship at University Hospitals Cleveland Medical Center is a one-year, non-ACGME accredited program which offers advanced training in the interpretation of imaging studies of the chest, heart, and vascular system. The fellowship is designed to provide a comprehensive educational experience that includes exposure to the latest imaging technologies and techniques, as well as opportunities for research and scholarly activities. We have been at the forefront of developing and implementing artificial intelligence (AI) tools for imaging analysis, with 4 active AI tools utilized for patient care on a day to day basis. We