Orthogonal Frequency Division Multiplexing (OFDM) is a popular modulation technique for transmitting digital data over wireless radio channels, including medical images due to its high transmission capacity, low interference, bandwidth efficiency, and scalability. However, the security of medical images is a major concern, and combining OFDM with encryption techniques such as chaos-based image encryption can enhance security measures. This study proposes a secure medical image transmission system that combines OFDM, 6D hyperchaotic system, and Fibonacci Q-matrix and analyzes its impact on image transmission quality using simulation results obtained through MATLAB. The study examines the Q-PSK constellation diagram, fast Fourier transform (IFFT) signal, cyclic prefix (CP) techniques, NIST, signal noise ratio (SNR), and bit error rate (BER). The results provide insights into the effectiveness of OFDM in securely transmitting high-quality medical images.