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This video tutorial explains how to save and export DICOM images, emphasizing that for diagnostic purposes, images must be in DICOM format rather than JPEG. DICOM format allows for image manipulation such as zooming, adjusting window levels, and changing contrast, which is not possible with JPEG. To save images in DICOM format, first create a new folder on your Windows desktop. Then, open the PACS viewing software containing the images you wish to save. Click the export button (or save if export is unavailable), select DICOM as the format, and choose the folder you created as the destination. Following these steps will ensure proper saving of diagnostic images.