Almost certainly saving the image was a violation of hipaa policy— giving emr records without the proper logging/etc can get the doc fired. The patient had a right to their images, but it’s like anything enterprise, getting it has to go through the proper channels.

You can probably imagine the privacy problems if that image were saved out of the cache directory.

I don’t think criticizing doctors for not knowing you can right click save image as makes any sense because it’s not an important part of their work.

Also, the images are Dicom on any radiology system, though some low functionality ward viewers may be jpg. Explaining to someone how to deal with Dicom is painful.

Using jpg for a 1,000 image study just doesn’t work.