Exhibit 10.15
 FIRST AMENDMENT TO SECOND AMENDED AND  RESTATED LOAN AND SECURITY AGREEMENT
 Amendment INSIGHT HEALTH
CORP. IHC Borrowers Borrower Lenders BANK OF AMERICA, N.A Administrative Agent
 Recitals :
 Loan Agreement
   1. Definitions .
 2. Amendments to Loan Agreement .
 Section 1.1
 Adjusted LIBOR Rate




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Applicable Margin provided Section 10.1.3(ii)
 Revolver PricingFixed Charge
    
    LIBORLevel
    
    Coverage Ratio
    
    Loans
    
    Base Rate LoansI
    
    
    Equal to or greater than 1.50 to
1.0
    
    
    3.25
    %
    
    
    2.25
    %II
    
    Equal to or greater than 1.25 to
1.0 but less than 1.50 to 1.0
    
    
    3.50
    %
    
    
    2.50
    %III
    
    Less than 1.25 to 1.0
    
    
    3.75
    %
    
    
    2.75
    %
 Section 10.1.3(ii) Section 10.1. 3(i)
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Base Rate plus plus
 Section 1.1
 Section 1.1
 Section 1.1
 First Amendment Date
 Prime Rate
 Reserve Percentage
 Unused Line Fee Percentage
 Section 2
 Section 3.2.2 Section 3.2.2
 Unused Line Fee
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Section 12.1.1
 Payment of Obligations
 3. Ratification and Reaffirmation .
 4. Acknowledgments and Stipulations.
 5. Representations and Warranties . Section 9
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Section 5(b)
 6. Reference to Loan Agreement .
 7. Breach of Amendment .
 8. Conditions Precedent. Section 2 Section 9
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9. Forbearance; Extensions of Credit During Forbearance Period
 Definitions
 Forbearance Conditions Section 9(d)
 Forbearance Date Section 8
 Forbearance Period
 Forbearance Termination Date Section 9(e)
 Interest Payment Default
 Stipulated Defaults Section 9(b)
 Stipulated Defaults
 Agreement to Forbear Section 8 provided however
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Conditions to Forbearance Section
9(c)
 Termination of Forbearance Section 9(c)
 Extensions of Credit
 10. Expenses of Agent on demand
 11. Effectiveness; Governing Law .
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12. uccessors and Assigns .
 13. No Novation, etc.
 14. Counterparts; Electronic Signatures
 15. Further Assurances
 16. Section Titles
 17. Relationship of Parties; No Third Party Beneficiaries
 18. Construction
 19. Non-Waiver of Default
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20. Release of Claims; Covenant Not to Sue . To induce Agent and Lenders to enter into
this Amendment, each Borrower, on behalf of itself and its agents, representatives, officers,
directors, subsidiaries, successors and assigns (collectively with
each Borrower,  Releasors  and individually a  Releasor ) hereby releases, acquits and forever
discharges each Releasee (as hereinafter defined) from any and all liabilities, claims, demands,
actions or causes of action of any kind (if there be any), whether absolute or contingent, due or
to become due, disputed or undisputed, liquidated or unliquidated, at law or in equity, or known or
unknown (collectively,  Claims ) that any Releasor now has, ever had or hereafter may have
against Agent or any Lender in any capacity or Agents or any Lenders officers, directors,
employees, agents, attorneys, representatives, subsidiaries, affiliates and shareholders
(collectively with Agent and Lenders, the  Releasees ) based on acts, transactions, or
circumstances occurring on or before the date of this Amendment that relate to (i) any Loan
Document, (ii) any transaction, action or omission contemplated thereby or concluded thereunder or
(iii) any aspect of the dealings or relationships between or among any Borrower, on the one hand,
and Agent and Lenders, on the other hand, relating to any Loan Document or any transaction, action
or omission contemplated thereby or concluded thereunder. The provisions of this Section
20 shall survive the termination of this Amendment and any of the other Loan Documents and
payment in full of the Obligations. Each Borrower, on behalf of itself and its successors,
assigns and other legal representatives, hereby unconditionally and irrevocably agrees it will not
sue any Releasee on the basis of any Claim released, remised and discharged pursuant to the
foregoing provisions of this Section 20 , and if such Borrower or any of its successors,
assigns or other legal representatives violate the foregoing covenant, such Borrower, for itself
and its successors, assigns and legal representatives, agrees to pay, in addition to such other
damages as any Releasee may sustain as a result of such violation, all attorneys fees and cost
incurred by any Releasee as a result of such violation.
 21. Waiver of Jury Trial . To the fullest extent permitted by applicable law, the
parties hereto each hereby waives the right to trial by jury in any action, suit, counterclaim or
proceeding arising out of or related to this Amendment
 Remainder of page intentionally left blank signatures begin on following page
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BORROWERS:INSIGHT HEALTH CORP.
MAXUM HEALTH SERVICES CORP. 
OPEN MRI, INC.
SIGNAL MEDICAL SERVICES, INC.
REVANA HEALTH CORP.
         (FKA COMPREHENSIVE MEDICAL
IMAGING, INC.)
COMPREHENSIVE MEDICAL IMAGING
CENTERS, INC.
 By:Keith S. Kelson, Executive Vice Presidentand Chief Financial Officer ORANGE COUNTY REGIONAL PET CENTER
       
IRVINE, LLC 
PARKWAY IMAGING CENTER, LLCBy:      InSight Health Corp., as the sole member
 By:Keith S. Kelson, Executive VicePresident and Chief Financial Officer




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CONSENT AND REAFFIRMATION
   INSIGHT HEALTH SERVICES HOLDINGS CORP.
INSIGHT HEALTH SERVICES CORP.By:Keith S. Kelson, Executive Vice Presidentand Chief Financial Officer