A system comprising a network of computers programmed to receive and process visual data transmitted from an endoscopic instrument, display the processed visual data as a live stream and as a set of discrete media objects to be annotated by users of multiple computers accessing the media objects remotely. The endoscopic instrument may feature several buttons arranged for capturing, freezing, and annotating the live stream. The media objects, annotations, and metadata associating the users with the annotations will be embedded by the system into a report using image and text matching algorithms, the report exportably stored and accessed in a patient-physician schedule and database environment.