Cardiac magnetic resonance (CMR) Imaging is now an essential investigation in the management algorithm of many cardiac conditions. By providing highly accurate structural and functional information, as well as non-invasive tissue characterization, CMR can improve both diagnostic accuracy and quantification of disease severity, leading to more effective healthcare delivery. Evolving CMR techniques, such as those utilizing parametric mapping and 4-dimensional flow quantification, offer new mechanistic insights into disease processes and may ultimately drive the development of novel targets for intervention.