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 

stopped. 

Keywords: PACS, teleradiology, Auto delete, Auto routing.