Teleradlology, the practice of radiology over a distance via electronic transmission of radiologic Images, has the potential to fundamentally alter the practice of radiology In the years to come. Different models for the practice of teleradlology Include on-call reading, consultation and overreadlng, primary-reading teleradlology, and integration with picture archiving and communication system (PACS) and mlniPACS. Remote real-time ultrasound teledlagnosls represents a specialized subset of primary-reading teleradlology, specifically designed to Involve the radiologist directly with sonographer In the performance of the ultrasound examination. This type of practice Involves rapid transmission of patient demographics and captured still Images and live transmission of the real-time video output of the ultrasound machine. When utilized properly real-time teledlagnosls extends the high standards of tertiary center sonographic diagnosis out to community and rural sites.