Increased scrutiny of the practice of medicine by government, insurance providers, and individual patients has led to a rapid growth of quality management programs in health care. Radiology is no exception to this trend, and quality management has become an important issue for individual radiologists as well as their respective practices. Quality control has been a mainstay of the practice of radiology for many years, with quality assurance and quality improvement both relative newcomers. This article provides an overview of quality management in the context of cardiopulmonary imaging and describes specific areas of cardiopulmonary radiology in which the components of a quality management program can be integrated. Specific quality components are discussed, and examples of quality initiatives are provided.