Picture archiving and communication system(PACS) is the key way to realize the medical images modernized management, the main work of which is to ensure the medical image information can be transmited and applied with high efficient. The Ether net is a popular local net. The author has described a PACS scheme based on high speed Ether net, with which, many modular functions (medical image sampling, medical image processing, medical image storage, medical image management, medical image review, medical image transmission, medical image edit, et al) can be realized. Also, the PACS can be fused with HIS.