I had the chance to spend some time with the developer of Patient Gallery image management software last week in Seattle. For years I was a user and a big fan of ImageFx. Patient Gallery is the next level of ImageFx. You can check it out here.
This newest version has all the cosmetic imaging tools and display features I liked in Fx plus a lot of updated features. The X-Ray section is much improved. I would like to see some additional changes and a better understanding of diagnostic needs.
Another nice feature is web based training. Training not just on using the software which is important but also training on getting a good photo to start with, including positioning and lighting.