I have recently come across an error in one of our nuclear medicine acquisition systems that causes it to occasionally create a duplicate SOPInstanceUID for some files. I only discovered the problem because of an error message like this
I think the SQL insert failed because it would have created a duplicate index entry on SOPInstanc in DICOMImages as another image with UID 1.2.840.113704.1.111.2172.1200880624.226 already exists.
I can fix this by generating a new SOP with dcmtk, but I was wondering what the correct action of the pacs should be.