Many of the commercial applications for teleradiology have involved the transmission of reduced resolution x-ray images over modest bandwidth telecommunications lines for the purpose of making a preliminary diagnosis. In order to study the technical and operational requirements for future teleradiology applications, the authors have focused on the demanding requirements for teleradiology within the hospital and medical center. Applications within the hospital often require x-ray images of primary diagnostic quality transmitted with a minimum of delay. An experimental, high-resolution film scan/print system designed by Health Sciences Division, Eastman Kodak Company, has been developed for installation in a working clinical environment. Images scanned at a spatial resolution of 4K X 5K can be delivered over a fiber optic link to a laser film printer at a rate of two films per minute. Preliminary plans to install this device in a variety of clinical settings have led to rethinking the requirements for automatic film loading, film and patient identification, throughput requirements, and image display formats. As an initial implementation, and application is being developed which allows chest radiographs taken in the admission area to be interpreted at a remote site within the hospital. Images can be viewed on high resolution monitors, or film replicates can be produced on a nearby laser printer. Tight coupling with a radiology information system provides access to relevant diagnostic information including prior radiology reports, and prompt electronic reporting and signature can be accomplished.