Background: The current state of the hospitals' departments can be provided by some lean management tools. With the help of the value stream mapping, the big picture of a whole process can be seen. This picture shows every step that the patient will follow and it also tells about the cycle time for each service. Methods: The data storage system is very insufficient so that data are collected from hospital staff and by personal observations. A lean management tool, value stream mapping is used to see the general view of the radiology department with its problems at a glance. Data and the map is used as a guide to conduct a quality house to make a prioritization between the problems, to decide which one to solve firstly, of patients at the hospital. Results: Problems of the radiology department related to mammography and ultrasound and suggestions to these problems according to the industry 4.0 linkage. Conclusions: For current situation, new technological mammography and ultrasound devices are needed to increase the level of patient treatment at the same time and to decrease waiting times. The IoT will lead connecting every machine together that means sending results of a patient will be done simultaneously. Similar to the future state map, writing and giving a report to a patient will not take any time so that patient satisfaction will increase.