Method and apparatus for providing guidance to medical professionals. In some embodiments, at least one natural language understanding engine is used to analyze at least one narrative provided by a radiologist in connection with a study of one or more medical images. One or more decision rules are applied to one or more facts extracted by the at least one natural language understanding engine from the at least one narrative, and a result of applying the one or more decision rules to the one or more facts extracted from the at least one narrative is used to provide guidance to the radiologist.