1. A network apparatus system allowing users to concurrently communicate, concurrently collaborate, concurrently consult using participant client input illustrations over a medical image, comprising; a TIMS server including at least one associated database having capability to communicate with a local area network; at least one streaming server in communication with a local area network wherein the streaming server is providing images to the local area network as it receives images from at least one source; and, a collaborator client in communication with local area network, allowing the client to illustrate over a medical image, the system having the capability of appending the images periodically to the TIMS server.