The Regional Medical Center at Memphis (the MED), including the Presley Memorial Trauma Center (the Trauma Center) is a privately operated, county owned, partially public funded institution that contracts with the University of Tennessee, Memphis (UT,Memphis) for physician clinical services. For approximately the past eight years, the administration of UT,Memphis has encouraged and emphasized the development of "Information Technology". To that end, a number of initiatives were developed on the campus, ranging from the development of a service oriented computer science department and the installation of an extensive broad band cable network to the widespread distribution of personal computers amongst the faculty. More recently, UT,Memphis and Siemens Corporation, the vendor of the UT,Memphis Magnetic Resonance Imaging (MR.I) equipment, collaborated in creating a link between the MRI and a physician workstation located in the Imaging Section of the MED. The MRI is located approximately a half mile from the MED and the link was established over the university broad band cable network. From those beginnings, interest developed within the Department of Raliology in more fully exploring the current PACS technologies. However, a number of resources often associated with the current installation of PACS technologies were lacking at UT, Memphis. No research funds were available from the university or from the Department of Radiology. Until very recently, and well into the final stages of planning for PACS, no significant biomedical engineering resources were available on the campus. The Physics Section of the Department of Radiology was overextended in providing support for a variety of clinical sections of the Department of Radiology. It became apparent that the most appropriate financial support for a PACS system was through the resources of one of the hospitals associated with UT,Memphis and that a major portion of the required technical support would have to come from the vendor and the hospital.