How to convert an x-ray dicom image to pdf for clinical referral
- Step 1Export the X-ray as a DICOM file — Retrieve the X-ray DICOM from your PACS or imaging system.
- Step 2Convert to PDF — Drop the DICOM into the converter and export as PDF.
- Step 3Attach to the referral letter — Include the PDF alongside the clinical referral letter.
- Step 4Send to the receiving clinician — Email or upload to the referral portal.
Frequently asked questions
Will the PDF render the X-ray in grayscale?+
Yes — X-ray DICOM images are rendered in grayscale in the PDF, matching the standard clinical viewing format.
What if multiple X-ray views need to be included?+
Convert each DICOM to PDF, then merge the individual PDFs into a single referral document.
Is this approved for clinical use?+
This tool produces a visual reproduction for communication purposes. All diagnostic decisions should be made from full DICOM data on a calibrated clinical display.
Privacy first
All PDF processing runs locally in your browser using PDF-lib and pdf.js. No file is ever uploaded — only metadata counters are saved for signed-in dashboard stats.