NESTOPIAA has developed a fully digital PACS for medical image management, eliminating the need for physical media such as radiographic films or CDs. This innovative approach simplifies the storage, retrieval, and sharing of medical images, offering a more efficient and environmentally friendly solution. Our system ensures constant accessibility to patient images, enabling healthcare professionals to access them quickly and at any time. It can be deployed on cloud or on premises. NESTOPIAA's primary focus is on serving small-scale medical imaging centers, Mammograph, sonography and dental imaging centers. We can quickly load film-based DICOM Files, such as sonography films, through the web by converting them to DICOM MPEG4. Our setup fee is exceptionally low, and centers will compensate us through usage-based billing on a monthly basis.