Uploading X-rays
Add intraoral X-rays, panoramics, and DICOM series to a patient's imaging record.
Overview
X-rays are stored as images (intraorals, bitewings) or DICOM series (panoramic, CBCT). The imaging viewer renders both. Files count against your storage quota.
Prerequisites
- Clinical role
- The patient record exists
- The image file (PNG/JPEG for standard X-rays; DICOM
.dcmfor advanced)
Steps
Open the patient profile. From Patients list. Or top nav Imaging → Patient.
Switch to the Imaging tab. Empty by default for new patients.
Click "+ Upload images". A modal opens supporting drag-and-drop and the file picker.
Select files. Single file or multiple. DICOM series — drop the entire folder; the system bundles them as one series.
Categorise each upload. Intraoral, Bitewing, Panoramic, Cephalometric, CBCT, Photograph. Drives how the viewer renders.
Specify the date taken. Defaults to today. Override if uploading historical X-rays from outside the clinic.
Optionally attach to a tooth. For intraorals, pick the tooth visualised. The imaging tab will show the X-ray under that tooth's record.
Click "Upload". Progress bar shows per-file. Large DICOM series take a moment; smaller files near-instant.
Verify the image displays correctly. Click the new card. The viewer opens. Verify the orientation, anatomy visible, and that no anatomy is cropped. If wrong, delete and re-upload with proper orientation metadata.
Expected outcome
- A
Document(orSeries) record exists with categoryXRAY, attached to the patient - The image displays in the imaging viewer
- Storage usage updates on the tenant dashboard
- Audit log entry records the upload
Troubleshooting
| Symptom | Likely cause | Fix |
|---|---|---|
| File too large | Single file over 25 MB | Compress or split DICOM series; increase limit via Settings → Storage if available on tier |
| DICOM series won't render | Missing metadata or unsupported encoding | Re-export from acquisition device with standard JPEG-baseline encoding |
| Wrong orientation | Source app didn't write orientation tags | Use the viewer's rotate tool to fix display; doesn't change underlying file |
| Storage quota hit | Cap reached | Buy storage addon or upgrade tier |
| Image visible but blurry | Standard zoom; try the zoom tool | Click the magnify icon and pinch-zoom |