In this paper, we present a multimedia, ATM network based approach to generating and transmitting imaging procedure multimedia (MmR) reports in emergency situations. This approach was applied to V/P lung scintigrams in our institution. The architecture of our multimedia reporting system consists of a (gamma) -camera providing V/P lung scintigram as Interfile formatted data, a workstation in which MmRs can be generated and from which they can be accessed, a set of low cost workstations where MmR can be displayed, and an ATM network running throughout our hospital and connecting the above stations. The main features of the MmR are detailed in the paper and are assessed from a physician point of view.