Healthcare institutions worldwide are increasingly adopting digital imaging solutions to replace traditional film-based radiological systems. This research presents the development of an advanced Picture Archiving and Communication System (PACS) designed to address current limitations in medical image management. Our proposed system focuses on seamless integration of legacy imaging equipment through innovative format conversion capabilities, specifically transforming proprietary image formats into standardized DICOM files. The implementation demonstrates significant improvements in storage efficiency, transmission speed, and overall workflow optimization within hospital environments. Through comprehensive testing and validation, we established that our solution successfully bridges the gap between older imaging modalities and modern digital infrastructure requirements. The system architecture incorporates robust security measures, user-friendly interfaces, and scalable database management to support growing institutional needs.