A programmed computer system receives an imaging study of the patient including metadata associated with the study. The metadata are analyzed to determine an anatomic region represented by the study. Additional imaging studies for the same patient are requested and the metadata associated with the additional studies are analyzed to determine relevant studies for the same or adjacent anatomic regions. Once the relevant prior studies have been identified, the computer requests the images associated with the identified prior imaging studies including the associated reports for review by a physician or other medical personnel.