Introduction In Norway, all radiology departments have implemented Radiology Information System (RIS) and Picture Archiving and Communication System (PACS). Most hospitals have also implemented Electronic Patient Records (EPR) and several other clinical information systems. Despite the digitalization of medical data, the radiologists experience suboptimal access to relevant data across systems and health institutions. The aim of this study was to identify some of the obstacles of access to relevant information, and to discuss initiatives to overcome these obstacles. Materials and methods We performed semi structured interviews with five radiologists from four different health regions and a private clinic. All informants were selected due to their high competence within information systems in radiology. As part of our work we designed workflow-cases for some radiological scenarios. Finally, we supported the study with evidence based literature. Results We identified several obstacles limiting radiologists’ access to relevant information. In addition we found that the informants were missing information elements in their radiological information systems. More complex radiological procedures, demanded more information. Further on, we revealed how the informants foresaw the future of radiology, given an optimized access to information across institutions and systems. Conclusion We found that none of the respondents experienced optimal access to relevant information across information systems and health institutions. There seems to be a number of reasons, including legal, technical and organizational obstacles. To overcome some of these barriers, we suggest national initiatives to ensure implementation of systems that optimize access to information, focusing upon the organizational challenges. We agree with the respondents that Norwegian law is a major challenge, and that it should be adjusted to support intra-institutional collaboration.