This paper presents an x-ray medical image panorama system which can overcome the smallness of the images that exist on a source computer during remote medical processing. In the system, after the standard medical image format DICOM is converted to the PC standard image format, a MSR algorithm is used to enhance X-ray images of low quality. Then SURF and Multi-band blending are applied to generate a panoramic image. Also, this paper evaluates the proposed SURF based system through the average gray value error and image quality criterion with X-ray image data by comparing with a SIFT based system. The results show that the proposed system is superior to SIFT based system in image quality.