A radiology workstation (16) includes a display device (25) and at least one user input device (20, 22, 24). A server computer (10) is programmed to operate with the radiology workstation to perform the radiology reading task (14) including a radiology reading support method comprising: receiving user input identifying a radiological finding; retrieving a structured finding object (SFO) template for the radiological finding; displaying an SFO annotation graphical user interface (GUI) dialog (40) having annotation data entry fields for annotating the retrieved SFO template; building an SFO (60) representing the radiological finding by annotating the SFO template via the SFO GUI dialog; and generating natural language text describing the radiological finding from the SFO. Application program interface (API) action rules (54) may be applied to determine whether the SFO being built satisfies any API action rule, and if so a corresponding application program is invoked.