Abstract: Methods and systems for automatically determining a clinical image or portion thereof for display to a diagnosing physician. One system includes an electronic processor and an interface for communicating with at least one data source. The electronic processor is configured to receive training information from the at least one data source and determine a subset of images included in each of the plurality of image studies displayed to one or more diagnosing physicians. The electronic processor is also configured to perform machine learning to develop a model based on the training information and the subset of images included in each of the plurality of image studies and receive the image study. The electronic processor is also configured to process the image study using the model to determine a subset of the plurality of images and flag the subset of the plurality of images for manual review by the diagnosing physician.