Abstract: Systems and methods are provided for communicating abnormal or unexpected medical findings to a designated recipient, and documenting the succesful and correct communication to the recipient. One method includes: conducting a radiology examination of a patient and generating a machine radiology image; collecting information about the patient and designated recipient to permit correct communication to the recipient; an interpreter preparing an interpretation of the image, and applying a code to any interpretation classified as abnormal or unexpected; entering and storing in a computer the collected information for patients with an abnormal or unexpected code; a communicator accessing the collected information and communicating the abnormal or unexpected finding to a designated recipient; and entering and storing in a computer documentation of the successful and correct communication of the abnormal or unexpected interpretation.