On the provider side of imaging services, challenges arise when images are accessible to any physician as they are to radiologists. Consequently, referring specialists are increasingly reading imaging exams especially when the images provided are so exquisitely detailed and/or are of textbook quality. This threatens to make radiology, as we know it and as it is being practised, obsolete for certain specialties. The future of radiology will hinge upon building value in the role of the radiologists as a synthesizer of patient information, including images, history, pathology and molecular diagnostics, in an effective bidirectional communication. This must be done in the most cost-effective manner that helps control health care costs. In addition, there are also issues with relation to workstation and what must be done to enhance productivity.