displaying, on a display, a digital radiograph image of a region of interest;

receiving a user input, via a graphical user interface, designating a radiology image characteristic of the region of interest on the display displaying the digital radiograph image, wherein the radiology image characteristic includes an anatomy, wherein the graphical user interface comprises a ring activated by selecting a point on the display and clicking a specific button;

performing, by a processor, a measurement comprising a three-dimensional (3D) volume of the anatomy, wherein the processor performs the measurement using image processing techniques;

determining, by the processor, a radiological recommendation based on the user input, the measurement, and a Fleischner Guideline risk factor;

displaying the radiological recommendation overlaid on the digital radiograph image, wherein the displaying of the radiological recommendation is automatically overlaid on the digital radiograph image in relation to the radiology image characteristic such that the overlaid radiological recommendation does not cover the radiology image characteristic, and

wherein the determining and displaying the radiological recommendation is automatically triggered when the user input is received;

receiving further user input comprising a modification of the radiological recommendation; and

generating, by the processor, a report including the modified radiological recommendation.