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Diagnostics

Use the PACS Worklist and Viewer

How to find imaging orders in PACS, open the viewer, and use tools and shortcuts for image review.

Section: Diagnostics
Updated: 2026-03-09
Tags: diagnostics, pacs, imaging

Use the PACS Worklist and Viewer

AnyVet Smart PACS separates the imaging worklist from the actual viewer. Users usually find the study on /pacs first, then double-click into the dedicated viewer.

Basic PACS Flow

  1. Find the imaging case in the worklist.
  2. Review the study history and status.
  3. Double-click into the dedicated viewer.
  4. Use tools and shortcuts to review the image set.

Understand the PACS Dashboard

The PACS dashboard has three main areas:

  • top Filter Bar
  • central Worklist
  • bottom History Bar

Information shown in the worklist

Each row typically shows:

  • status icon
  • accession ID
  • patient name and HN
  • species / breed / sex
  • modality or service name
  • created date and time
  • AI insight summary

Worklist status meaning

  • PENDING
  • DONE
  • CANCELED

Single-click changes selection. Double-click opens /pacs/[imagingOrderId].

Tip: Single-click first to confirm the patient and study context, then double-click into the viewer.

Understand the Viewer Layout

The dedicated PACS viewer usually includes:

  • top patient / order information bar
  • left vertical tool bar
  • left file list
  • center viewport
  • shortcut help trigger

Review the Patient Information Bar

The expandable patient bar can include:

  • patient name and HN
  • ordered exam
  • ordering clinician
  • species / breed / weight
  • order timestamp
  • record reference ID
  • clinical note

Always confirm the patient and study context here before interpretation begins.

Main Viewer Tools

Common tools include:

  • Select
  • Window / Level
  • Pan
  • Zoom
  • Length
  • Angle
  • Rotate
  • Flip Horizontal / Vertical
  • Annotation
  • Clear All
  • Reset View

Advanced examples include:

  • Norberg Angle
  • TPA
  • Cobb Angle
  • Calibration
  • ROI / Elliptical ROI
  • Probe
  • Invert

Some advanced tools are DICOM-specific.

Common Keyboard Shortcuts

ShortcutAction
Left / UpPrevious image
Right / DownNext image
+ / -Zoom in / out
RReset view
FFull screen
MMetadata panel
[ / ]Rotate
IInvert colors
LLength measurement
TAnnotation
ESCClear active tool
?Help

Practical Review Flow

Step 1. Select the image

Choose the image from the file list or navigate with the arrow keys.

Step 2. Activate the right tool

Use Length for measurement, Annotation for mark-up, and Select or Pan for general navigation.

Step 3. Open metadata if needed

Use the metadata panel when the acquisition context or file details matter.

Step 4. Reset if the view becomes cluttered

Use Reset View when the viewport has drifted too far from a usable baseline.

Operational Notes

  • The dashboard is for deciding what to review.
  • The viewer is for deciding how to review it.
  • Wrong-study entry can create interpretation and clinical mismatch, so always confirm patient identity first.