Imaging for aortic dissections and other acute aortic syndromes relies heavily on computed tomography (CT) scans. There is an ongoing need to educate providers and imaging specialists regarding the different protocols for CT scans and the heightened value of aortic protocol scans for acute aortic syndromes. Current dissection guidelines recommend the treatment for patients with acute aortic syndromes be performed at a high-volume center by a multidisciplinary team that includes an imaging specialist. MRI and echocardiography can provide additional information and possibly at lower radiation exposure compared to CT scans. All imaging modalities are evolving with new and future uses and capabilities.