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Future direction telemedicine depends on effective usage of bandwidth due to the huge amount of data generated by high resolution medical images and expert systems, which will eventually try to replace the expert for opinions. Medical image retrieval and lossless-lossy compression will redefine the way data is sent and retrieved in telemedicine systems. This paper proposes a novel method to enable telemedicine even if an expert is not available. The proposed method combines content based image retrieval to retrieve diagnostic cases similar to the query medical image and image compression techniques to minimize the bandwidth utilization.