A previous two-part article by Simon Brown described the acquisition, editing, compression and initial storage of digital images taken in the clinical studio. Due to the higher-than-expected demand for this clinical service, additional factors had to be considered when dealing with large numbers of images. These included storage on writable compact disc (CD) drives and a system for retrieving images from these devices which was flexible enough to handle the requirements of different specialities and be usable by all medical illustration staff.