System and method for collaboratively communicating on images and saving those communications and images in a standard known format

A network apparatus system and method of use adapted for viewing, illustrating, consulting and collaborating on medical images and saving images and illustrations in acceptable DICOM format. Specifically, a Consultant Client or a plurality of Consultant Clients having the capability to view still and streaming video medical images, then illustrating over those images with the ability to save those images. Also a Collaborator Client, a person user or a plurality of Collaborator Clients having the ability to remotely view streaming or still medical images and illustrating over those images. The Collaborator Clients can draw, telestrate and annotate over those images with the ability to save those images. The Collaborator Client also has the ability to work in partnership with other Collaborator Clients, each Collaborator Client viewing the same medical image and each illustrating on the image and each being able to view all users illustrations and medical image simultaneously.