Abstract: Picture Archiving and Communication System (PACS) is a wide world used digital method of diagnostic
imaging. PACS servers usually have a limited capacity storage which will be sooner or later be full and no more cases to
be sent. Sending of cases may be not automatic in all PACS and depending on human factor. This review is discussing two
important options (Auto routing i.e. auto send of cases to PACS and auto delete of cases) for continuous sending and
storage volume availability. Both when unavailable in PACS system it usually will not work properly or e ven may be
Keywords: PACS, teleradiology, Auto delete, Auto routing.