While medical imaging is not the major focus of HIPAA or HITECH, it is important that practitioners be wary of the unique issues associated with this type of protected health information (PHI). Medical images are typically dense data files often much larger than their other medical record counterparts. It’s not unusual to find studies or series of images that exceed one gigabyte in size. Their storage, sharing and archive pose unique challenges for the practitioner. Hence, it is important to understand how best utilize this important diagnostic tool while not running afoul of regulations.