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Teleradiology systems in Sohag university hospital in general and Radiology Department specifically. Methods Millensys PACS \"work space version 5.0.0.1496\" (Millensys company, Egypt), installed in Radiology Department, Sohag University Hospital to be evaluated regarding the acquired experience & values of its application & use during the duration of the research - 18 Months - , begin on 15 November 2015 to 1 June 2017. Results the total number of cases sent on PACS during the duration of the study was 57453 cases, 89.47% of them were sent from CR, 7.50% CT cases & 3.03% were MRI cases. Some months are showing a drop in number of sent cases on PACS. only 4.9% of sent CT cases and 17% of sent CT cases was reported on our PACS, Only 8 Cases of CT & 0 Cases MRI are verified all over the duration of the study. Representing 0% cases of MRI and 0.01% of cases of CT. the net result economization of PACS for Sohag university hospital during the duration of the study is 1550000 EGP.