Radio imaging services are an essential component of a 500-bedded hospital because they support diagnosis, treatment planning, emergency care, surgery and follow-up of patients. Proper planning and organization of these services should ensure timely, accurate, safe and cost-effective imaging while maintaining smooth patient flow and efficient utilization of equipment and staff. The first step is assessment of the hospital’s requirements. A 500-bedded hospital generally requires a well-planned radiology department capable of handling outpatient, inpatient, emergency and critical-care cases. The workload should be estimated according to bed strength, outpatient attendance, emergency cases, surgical workload and specialty services. The imaging facilities may include conventional X-ray, portable X-ray, ultrasound, computed tomography (CT), magnetic resonance imaging (MRI) and mammography, depending upon the hospital's level of care and available resources. The location of the radiology department is important. It should be easily accessible from emergency, outpatient departments, operation theatres, intensive care units and inpatient wards. The department should have adequate space for reception, registration, waiting areas, changing rooms, examination rooms, reporting rooms, equipment rooms, staff areas and storage. Separate arrangements should be made for patients