When I started examining patients with ultrasound for musculoskeletal disorders we were still using static “B” scanners. CT was a new invention and MRI did not exist. Whilst my contemporaries were enthusiastically specialising in the use of nuclear medicine and ultrasound, I chose to take an interest and eventually a full-time specialisation in a system rather than a machine. The principal strength of this choice is that I use all imaging methods and hopefully have insight into their advantages and weaknesses in each potential application. It does mean that I have little knowledge of what goes on in the abdomen, chest or brain and that, for better.