Novel tools and techniques are provided for implementing an imaging discovery utility for augmenting clinical image management. In some embodiments, in response to receiving a request for a first medical image file(s) from a requesting device, a non-relational (“NoSQL”) data management system (“DMS”) may access a NoSQL database containing, inter alia, a plurality of medical image files that are mirrored copies of a plurality of medical image files stored in a relational (“SQL”) database, the medical image files each being organized in an image-centric hierarchy with image data being at a top level and patient information associated with the image data being at a lower level. Based on a successful search of the NoSQL database based on search terms in the request, the NoSQL DMS may identify a corresponding second medical image(s) in the SQL database, and may retrieve and send (to the requesting device) the identified second medical image(s).