Without
They encrypt for four hours before anyone notices.
- 02:14 An attacker, signed in on a service account, starts encrypting the imaging archive.
- 02:14–06:00 The night passes. The encrypted files replicate to the second site on schedule.
- 06:40 A radiologist cannot open a study. Imaging is declared unavailable.
- Day 2–9 Appointments are canceled, the archive is restored from tape, and the authority asks which records were affected.
Outcome
Days of diverted care, a ransom demand, and a NIS2 notification you cannot complete because nobody can say which patient records the attacker touched.









