Imaging of the pulmonary vasculature with "inflow" MR imaging is difficult both to perform and interpret. Over the last few years, however, a greater understanding of contrast-enhanced techniques and the availability of fast gradient performance have facilitated the development of high resolution breath-hold images with high contrast-to-noise ratios. Increasing clinical experience with these contrast-enhanced techniques suggests a likely role for MR angiography in investigating patients with a variety of pulmonary vasculature disorders, including pulmonary embolism, pulmonary hypertension and arterio-venous malformation.