An image management system (10), includes a PACS system. The PACS system (10) includes a PACS server (20) coupled to a communications network (22) and a plurality of PACS workstations (40) also coupled to a communications network (22). Each PACS workstation (40) is configured to receive two dimensional image information and produce a three dimensional image rendering on the PACS workstation (40). The three dimensional image rendering is communicated to the PACS server (20) for storage and later retrieval.