Thinking Systems is showcasing its upgraded ThinkingPACS and ThinkingRIS at RSNA 2009, focusing on enhancements that support multimodality processing, especially for molecular imaging. Enhanced PACS solutions offer side-by-side comparisons of radiology and cardiology modalities with specific clinical tools for each modality. The upgraded web-based RIS provides patient registration, modality work list, report generation and distribution, and a billing interface. The enhanced PACS now includes PET/CT and SPECT/CT fusion, nuclear cardiology processing and quantification and template-driven structured reporting, general nuclear medicine processing (MUGA, renal, gallbladder, lung, gastric emptying, general ROI analysis, etc.) and review, and echocardiography web-based review and structured reporting.