Abstract: Systems and methods for managing medical imaging workflow in an in-office or point-of-care setting outside of a conventional radiology workflow are provided. These system and methods allow for efficient medical imaging workflow management without a Radiology Information System (“RIS”). The systems and methods described here can provide a dual workflow functionality, in which images can be acquired and stored following a prepared medical imaging order according to an “orders first” workflow, or images can be acquired and stored without a prepared medical imaging order according to an “images first” workflow. In both instances, the systems and methods described here interact with the Long Term Archive to quarantine images with missing or incorrect metadata, and to update the quarantined images in an efficient manner to avoid orphaned image studies.