CXRAY AND ECHO provide essential information for diagnosing congenital heart defects (CHD). Echocardiography (echo) allows visualization of cardiac anatomy and function and has largely replaced cardiac catheterization for pre-operative evaluation, diagnosing over 95% of cases. While echo is now the primary diagnostic tool, chest x-rays (CXRAY) still provide some useful information, such as detecting cardiomegaly, increased lung vascularity, and post-operative changes. However, CXRAY is becoming less necessary for primary CHD diagnosis as echo allows such detailed cardiac imaging without radiation exposure.