For most of the twentieth century teleimaging was a Buck Rogers notion. The idea that care could be directed by the inspection of pictures at a physical remove from a sick individual was regarded as science fiction even only a few years ago. Yet, developments in communication in the past decade have made it possible to manipulate pictures as easily as it has become to manipulate words. Now, as we know it, teleimaging is a reality so commonplace that it is no longer a strategic decision for most radiology practices and not even a tactical consideration for those acquainted with its virtues. Rather it has become an operational necessity for many practices. I say this even as the use of teleimaging is only barely beginning for our colleagues in medicine, pathology and psychiatry. All of these specialties lend themselves very well to the transmission of pictorial information, be it an EKG, a pathological slide or a patient interviewed through teleconferencing. Yet, we in radiology stand apart as leaders of the application of this technology [1].