The goal of this project was to display reports that come from ECG devices as PDF document in the same PACS workstation alongside other images. The PACS in the hospital lacks PDF display. To resolve this the customer asked to rasterize the PDF’s to image format and wrap them as secondary captures. The solution is a pipeline process that comes between the ECG devices and the PACS. The ECG devices store the DICOM encapsulated PDF documents to a DSRSVC DICOM listener instead of the PACS, Then the PDF is extracted, rasterized to bitmap image, compressed as JPEG and inserted into a secondary capture image that is sent to the PACS. Every page in the original PDF is converted to one instance in a series of images. The result can be displayed in the PACS DICOM viewer with no issues.