Every CT and MRI study can run from hundreds of megabytes to several gigabytes, and overnight bursts from multiple clients compound quickly. We size and monitor bandwidth, engineer DICOM routing and prefetching, and apply lossless compression so studies transfer whole and in the right order. We watch throughput around the clock and flag a slow or failing circuit before it delays a STAT read. The goal is simple: the radiologist opens a complete study the moment it lands. That keeps turnaround tight even at three in the morning.