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Overview: This research paper discusses teleradiology and medical image reconstruction from the perspectives of both India and its client countries. Radiology is an ""Extreme"" professional service with extensive usage of tacit rather than codified knowledge. The importance of tacit knowledge leads to long training periods, a limited global supply of radiologists and heavy government regulation, all of which are obstacles to a ""Flat world"". Computerization of low-end diagnostic radiology ultimately poses a bigger threat to the profession than offshoring.
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