A mechanism is provided in a data processing system comprising a processor and a memory, the memory comprising instructions that are executed by the processor to specifically configure the processor to implement an intelligent medical image viewing engine. The intelligent medical image viewing engine receives a medical imaging study data structure comprising a plurality of electronic medical images from a medical image database. An image processing component executing within the intelligent medical image viewing engine analyzes the medical imaging study data structure to identify, for each electronic medical image in the plurality of electronic medical images, a corresponding set of image attributes. The intelligent medical image viewing engine receives a user input specifying at least one filter attribute for generating a medical image output and correlates the at least one filter attribute with at least one medical attribute of medical images to be used for selection of electronic medical images from the medical imaging study data structure. An image selection component executing within the intelligent medical image viewing engine selects a subset of the electronic medical images in the plurality of electronic medical images based on the correlation of the at least one filter attribute with the at least one medical attribute. A user interface generation component executing within the intelligent medical image viewing engine generates and outputs a medical image output comprising the subset of electronic medical images based on the selection.