I drive an MRI scanner or 2 that are built on windows 2000. It's so very painful that modern scanners use such old OSs. The OS is masked from the user, but as soon as you try to do something complex (real complex, like getting images onto a memory stick) you have to use a series of crude hacks to get an explorer window up, then work around the disabled functions to get data off the scanner without using the network port.