Imaging technology is becoming available at a larger number of remote areas. This, however, is accompanied by a shortage of skilled radiologists in these areas. This situation makes it essential to deploy Tele-radiology solutions that allow images to be viewed and reports be written by skilled radiologists at more central locations. Reports can then be transferred electronically back to the originating sites or emailed to the referring physicians.  PaXtreme-Tele is a scalable solution that provides all necessary tele-radiology functionality. It can also be integrated with a Radiology Information System (RIS).