Coolant flows the same way, the impeller vanes are reversed so the coolant still flows like it's supposed to. The setup you saw was probably on a full size truck if it's steel. Avoid these like the plague, I had issues with the steering pump pulley hitting the steering box (4-bolt steering cover, round snap-ring cover clears fine). My setup is off a 4.3-powered S-Series, anything from the late '80s on up in those trucks should fit alright. So long as it's aluminum you should be ok.