This test exercises a typical workflow for a mobile Ultrasound modality that is only intermittently connected to the network. The patient is first registered at ADT, but no order is placed. The modality (which is assumed to be off the network at the patient's bed) directly creates images. The patient ID is entered manually at the modality. When the modality is connected to the network, it starts sending images, MPPS and Storage Commitment to the IM/OF. The IM/OF operates te PPS Manager and forwards to the DSS/OF. Then a local patient reconciliation is performed at the DSS/OF. Filler management is performed at the DSS/OF and an update message is sent to the IM/IA to correct the patient demographics for the patient. Finally, the images are queried/retrieved and displayed at an Image Display.