Display strategies for medical images in radiology have evolved in tandem with the technology by which images are made. The close of the 20th century, nearly coincident with the 100th anniversary of the discovery of x-rays, brought radiologists to a new crossroad in the evolution of image display. The increasing availability, speed, and flexibility of computer technology can now revolutionize how images are viewed and interpreted. Radiologists are not yet in agreement regarding the next paradigm for image display. The possibilities are being explored systematically through the Society for Computer Applications in Radiology's Transforming the Radiological Interpretation Process initiative. The varied input of radiologists who work in a large variety of settings will enable new display strategies to best serve radiologists in the detection and quantification of disease. Considerations and possibilities for the future are presented in this paper.