Abstract: A system and method for managing digital medical images includes retrieving one or more digital medical images from among a plurality of digital medical image files having medical images formatted in two or more different image file formats. A working copy image of each of the retrieved digital medical images is created, one or more working copy images are displayed, and one or more displayed images are edited responsive to an input from an operator such that the displayed images include the edits. Text data associated with one or more edited images is received. A directory is automatically created in a database associated with the one or more edited images and the text data and an XML file and an HTML file are automatically created and associated with the directory. The edited images, the text data, the XML file, and the HTML file are stored in the directory.