Introduction
•To find the cause of “lost films” and “missing reports” in a filmless environment is important to follow each step of an imaging exam from the time a patient is schedule to the time a final report is signed. Comparison of the status changes in RIS (Radiology Information System) and PACS helps in identifying where a breakdown occurred and who is responsible to fix the problem (receptionist, technologist, PACS/RIS manager, transcriptionist, radiologist).