1. A method of providing a diagnostic image study to one or more interpreters comprising: receiving the diagnostic image study at a first translator computer; using a central server to route the diagnostic image study to a plurality of board certified and credentialed interpreters substantially simultaneously; using the central server to notify via an alert, a plurality of available board certified and credentialed interpreters of the need for an interpretation of the diagnostic image study; allowing responses of the interpreters; selecting an interpreter based upon the selected interpreter being the first to respond and having the desire and ability to perform the interpretation.