Today’s digital picture archiving and communication systems (PACS) is highlighted with several choice words around the industry: accessible, flexible, Web-based, thin client versus thick client and vendor-neutral. Whatever term is used to describe the PACS of today and the future, one thing is clear: the aim now is to be able to store medical images, sourced from any modality, in a secure location on a network and retrieve them for review from any platform or any device.