Large hospitals require many viewing stations for image access by referring doctors and personnel from the operating rooms and emergency room. We propose to discuss our experience in providing such review stations with inexpensive PC-based workstations, fast switched Ethernet and a client-server architecture within a large hospital. The bulk of computing processes overhead such as data acquisition, formatting, archiving, database management, routing was performed by large servers and 2 Ethernet giga- switches which are part of our PACS. PC-based workstations performed data retrieval and display functions with user configurable software. Ultrasound, MRI, CT, Angiography and digitized x-ray images were available on the servers. Referring doctors in ICU, CCU were very receptive to this technology. Film use decreased somewhat for hose services using this new technology. PC-based workstations can provide an economically viable solution for image data access by referring physicians and other staff.